Scheduling Insurance Billing and Coding Administrative Admin Terminology
100
What is patient demographics
Name, address, DOB, phone number, and insurance.
100
What is Coinsurance
An amount a policyholder is financially responsible for according to insurance policies provisions.
100
What is Current Procedural Terminology (CPT) code
5 digit number used to describe an evaluation by a provider
100
What is Administrative supplies
Pens, pencils, paper, toner, and clip boards.
100
What is Automated call routing
A software system that answers automatically and routes calls to staff after the caller responds to the telephone prompts.
200
What are types of scheduling
Wave scheduling, double booking, modified wave scheduling
200
What is Explanation of Benefits (EOB)
A statement sent to the patient detailing what services were paid for, denied, or reduced in payment .
200
What is CMS-1500 Form
This form must be completed without any mistakes, or missing items for claim submission/acceptance.
200
What are SOAP notes(Subjective, Objective, Assessment, and Plan)
Documentation from the pts visit with chief complaint, provider findings, diagnosis and treatment.
200
What is Computerized Physician Order Entry (CPOE)
an electronic entry by the providers of treatment instructions.
300
What is a referral
This is required at times when directing a pt to a specialists office.
300
What is Advanced Beneficiary Notice (ABN)
The form Medicare pts may have to sign if services might not be covered by the insurance
300
What is Accounts payable
Debts that are incurred, but not yet paid.
300
What is a database
A collection of associated files that function as a basis for retrieving information.
300
What is quality control
Measures put into place to maximize reliability and accuracy of results.
400
What is a template
An outline used to make new pages with a similar pattern or style.
400
What is Pre-cert/Pre-auth
Getting insurance approval of testing or procedures.
400
What are assets
Properties that are not subject to payment, and are owned.
400
What is Electronic Medical Record (EMR)
This is created, and managed by a provider, their staff in a single healthcare facility.
400
What is a matrix
A table used for scheduling
500
What is Notice of Privacy Practices
A notification by providers required by HIPAA that gives an explanation of pt rights, and confidentiality.
500
What is Sliding fee scale
Something a pt may qualify for when in need of financial assistance.
500
What is Upcoding
Unlawfully increasing the reimbursement from a third-party payer.
500
What is Electronic fun transfers (EFT)
A payment through an automated clearinghouse that allows for faster deposit.
500
What is Health Insurance Portability and Accountability Act(HIPAA)
This promotes the privacy of patients health information.






Administrative

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