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25 Cards in this Set
- Front
- Back
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patient information form
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a form that includes patients personal, employment and insurance data needed to complete a health care claim also known as registration form includes: first middle and last name, gender, birth date, home address and phone number, martial status, student status, ss#, email address, allergies, employment information, insurance information
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new patient information
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medical history, insurance information, identification verification, authorization for treatment, financial agreement, assignment of benefits statement and acknowledgment of receipt of Notice of Privacy practices
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medical history form
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information of patients medical history, family medical history and patients social history.
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registration
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to obtain more detailed information about the patient before their encounter with providers.
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guarantor
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person who is the policyholder or subscriber
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assignment of benefits
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authorization by a policyholder that allows a health plan to pay benefits directly to a provider
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accept assignment
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a participating physicians agreement to accept the allowed charge as payment in full
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acknowledgment of Receipt of Notice of Privacy practices
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HIPAA requires medical practices to give each patient a copy of their Notice of Privacy Practices at the time of patients first encounter and at least once every 3 years. Then have the patients sign a form acknowledgment of receipt of Notice of Privacy practices
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release authorization
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HIPAA Privacy Rule does not require an authorization to release patients PHI for treatment, payment and operations (TPO) The state may demand one.
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advance beneficiary notice of non coverage (ABN)
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medicare form used to inform a patient that a service to be provided is not likely to be reimbursed by medicare
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primary insurance plan
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Health care plan that pays benefits first when a patient is covered by more than one plan
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secondary insurance plan
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Health plan that pays benefits after the primary plan pays when a patient is covered by more than one plan
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coordination of benefits (COB)
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clause in an insurance policy that explains how the policy will pay if more than one insurance policy applies to the claim
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birthday rule
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guideline that determines which of two patients with medical coverage has the primary insurance for a child. The patient whose day of birth is earlier in the year is considered the primary
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financial policy
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practices rules governing payment for medical services from patients
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Co payment
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routinely collected during check in. amount depends on the type of service and insurance policy
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patient tracking features
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used during patients encounter to track where the patient is during the different steps of the encouter.
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appointment status options
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unconfirmed, confirmed, checked in, missed, cancelled, being seen, checked out and rescheduled
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case
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Is a grouping of transaction fir visits to a physician office organized around a specific medical condition
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chart number
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a unique number that identifies a patient
medisoft assigns chart number by using the first 5 letters of the patients last name and the first 2 letters of their first name the last character is always a 0 |
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chart
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folder that contains all records pertaining to a patient
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record of treatment and progress
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physicians notes about a patient's condition and diagnosis
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referring provider
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physician who refers the patient to another physician for treatment
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capitated plan
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insurance plan in which prepayments made to a physician cover the physicians services to a plan member for a specified period of time
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sponsor
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In TRICARE the sponsor is the active duty service member
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