Reading...
Play button
Play button
Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
33 Cards in this Set
- Front
- Back
|
4 governing bodies
|
EMTALA
HIPAA JCAHO COBRA |
|
|
EMTALA
|
Emergency Medical Treatment & Active Labor Act
|
|
|
HIPAA
|
Hospital INSURANCE Portability & Accountability Act
|
|
|
JCAHO
|
Joint Commission on Accreditation of Healthcare Organizations
|
|
|
COBRA
|
Consolidated Omnibus Budget Reconciliation Act
|
|
|
Name Change IDs
|
Passport
Drivers License Court ID paperwork Marriage License Military ID |
|
|
Medicare A Deductible
|
$1132. yearly
|
|
|
Medicare Replacement Plans
|
Humana
Aetna Wellcare United |
|
|
No SSN# Id Reasons
|
Newborn under 2 years old
Non US Citizen US Citizen - Unknown |
|
|
3 Areas of Revenue Cycle
|
Front - Patient Access Svcs
Billing Back - Patient Financial Svcs |
|
|
Auto Accident Insurance Unknown Code
|
699
|
|
|
Admitting Responsible For:
|
The right patient
Right demographics Right billing information Docs signed and Scanned |
|
|
HDX Payers
|
Cigna
BCBS Great Western Humana United Healthcare |
|
|
NOFR
|
Note of Financial Responsibility
|
|
|
5 Keys from Jim
|
Cash Collections
Customer Service Choosing the right Patient Confidentiality Challenge/Competitive |
|
|
Reasons Medicare will not pay
|
No diagnosis
Exceeded allowable visits Government Study |
|
|
Why Documentation is needed
|
Its a legal document
Reduce calls/complaints It is professional |
|
|
How does your position effect revenue
|
1st point of contact for patients and influence speed of movement through system, less errors made, faster payment
|
|
|
Authorization by 2 pm prior to scheduled visit or cancel or reschedule?
|
YES - True
|
|
|
Advanced Beneficiary Notice (ABN) is needed when?
|
Test for research
No Diagnosis provided Not medically necessary Not approved by FDA Limited number of allowances exceeded |
|
|
Service used to record calls with insurance companies
|
Voicesrt
|
|
|
ET
|
Emergency Temporary
|
|
|
OP
|
Outpatient Pre-Registration
|
|
|
IP
|
Inpatient Pre-Admit
|
|
|
IA
|
Inpatient Active
|
|
|
OA
|
Outpatient Active
|
|
|
We accept payments from?
|
Check
Cash Credit Card Debit Card |
|
|
Jims Top 5
|
customer service
Confidentiality Cash/Collections Chose right patient Challenge yourself/competitive |
|
|
52% goes to collections?
|
True
|
|
|
We process payment through US BANK
|
true
|
|
|
Demographic overlay
|
physically change address and information on pt record
|
|
|
Identifier overlay
|
wrong person indentified in system
|
|
|
Code to make confidential in directory
|
Z
|
