Post on 17-Jan-2016
description
Jeopardy
Office #1 Insurance Finance Risk MngmtHodgePodge
100 100 100 100 100200 200 200 200 200
300 300 300 300 300
400 400 400 400 400
500 500 500 500 500
Question I 100
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Mail that is sorted by zip code
Answer
Question I 200
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Process to follow when a patient calls to obtain his/her lab results
Answer
Question I 300
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Tracks PHI provided to authorized recipients
Answer
Question I 400
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Tracks patients seen, services provided, and monies received for that day
Answer
Question I 500
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Person who acts as a “go between” for clinical questions before referring the patient to the provider
Answer
Question II 100
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The governmental insurance that covers the indigent and some disabilities
Answer
Question II 200
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The governmental insurance that covers the elderly
Answer
Question II 300
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Needed when requesting payment for services under workman’s compensation
Answer
Question II 400
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Sent to the patient by a third party payor indicating what monies have been paid to provider for claims submitted
Answer
Question II 500
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Reference used to enter the medical condition on the encounter and CMS-100 form
Answer
Question III 100
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A main function of the CMAA is to record in this accounting system
Answer
Question III 200
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Remaining portion of fee after co-payment is received
Answer
Question III 300
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Where payments from insurance companies are posted
Answer
Question III 400
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Updated when there is a change in the financial policies and procedures
Answer
Question III 500
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Notification that is sent to the provider’s office summarizing all the benefits paid for the claims submission
Answer
Question IV 100
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Failing to act as any reasonable, prudent person would under similar circumstances
Answer
Question IV 200
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A legal documentation requiring access to medical records
Answer
Question IV 300
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The federal agency responsible for workplace safety
Answer
Question IV 400
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A violation of HIPAA rules when a sign in sheet asks a patient to supply the reason for the visit
Answer
Question IV 500
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The law that allows employees to get information about workplace health and safety issues
Answer
Question V 100
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Code used on an order to indicate urgency
Answer
Question V 200
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Considered when a provider does not notify a patient of his intent to discontinue treatment
Answer
Question V 300
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Provides insurance coverage information, used to verify third party benefits
Answer
Question V 400
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Provides the Medicare beneficiary with the option to receive non-covered services
Answer
Question V 500
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Software used to produce a Patient by Procedure report?
Answer
Answer I 100
What is Bulk Mail?
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Answer I 200
What is schedule a medical records review appointment?
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Answer I 300
What is a Disclosure Log?
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Answer I 400
What is a Day Sheet?
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Answer I 500
Who is the triage assistant?
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Answer II 100
What is Medicaid?
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Answer II 200
What is Medicare?
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Answer II 300
What is a claims number?
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Answer II 400
• What is EOB - Explanation of Benefits form?
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Answer II 500
• What is ICD-9 or ICD-10?
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Answer III 100
What is Bookkeeping?
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Answer III 200
What is co-insurance?
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Answer III 300
What is Accounts Receivable ledger?
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Answer III 400
What is the fee schedule?
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Answer III 500
What is Remittance Advice?
(this is where you will see denial codes)
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Answer IV 100
What is negligence?
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Answer IV 200
What is subpoena?
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Answer IV 300
What is OSHA?
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Answer IV 400
• What is “incidental disclosure?”
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Answer IV 500
What is the “Right to Know” law?
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Answer V 100
• What is “Stat?”
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Answer V 200
What is abandonment?
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Answer V 300
What is a Patient Ledger?
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Answer V 400
What is Advanced Beneficiary Notice?
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Answer V 500
What is Patient Management System?
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