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