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Bus. Final Review
Final Review BUs. Practices, Chapters 13-18
| Question | Answer |
|---|---|
| FCRA | Fair Credit Reporting Act |
| 2 types of bankruptcy | Chapter 7 & 13 |
| Individual Responsibility Program (IPR) | Concierge Medicine/Retainer |
| Check 21 | 21st Century- paper to electronic |
| Endorsements | Blank (just signature), Restrictive (for deposit only), Special or Full (pay to the order of) |
| Accounting Systems | single, double, Peg, computerized |
| Single | done by hand, accepted in both federal and states |
| Double | books must balance, requires person w/ advanced accounting skills |
| Peg Board | most popular and oldest (daysheet, deposit, etc..) |
| Computerized | quickest, expensive, least amt of errors |
| A/R | Accounts receivable- money coming in such as claims, co-pays, ins. payments |
| A/P | Accounts Payable- monies going out; are liabilities |
| Assets | anything owned by the business |
| Capitol | original investement |
| Proprietorship | owner's net worth |
| liability | accounts payable, must pay out- BILLS |
| credit | to trust |
| CPT | Current Procedural Terminology |
| CPT has how many sections? how many numbers in a codes? how many numbers in a modifier? | 6; 5;2 |
| Cpt codes 99 | Evaluation & Management |
| CPT codes 90 | Medicine |
| CPT codes 80 | Path & Lab |
| CPT codes 70 | Radiology |
| CPT codes 60-10 | Surgery |
| CPT codes 00 | Anesthesia |
| E/M codes | TOS, POS, Pt Status- occifece |
| Medicine | non-invasive medical procedures, inj. vaccines |
| Path&Lab | cultures, microbiology |
| ICD | International Classification of a Disease |
| HMO | oldest, capitation yearly, no out of network, broekn into staff, group network |
| PPG | IPA/HMO Ambulatory; PPO hospital |
| POS | HMO & PPO |
| IPA | an HMO but monthly capitation |
| Medicare | 65 and older, blind, disabled, RBRVS |
| Medicaid | poor, blind disabled, always secondary insurance |
| Types of referrals | formal, direct, verbal, self |
| exclusions | specific conditions that ins. policy will not pay |
| waivers | if ins. doesn't pay, you can claim/ask for coverage |
| Pre Certification | procedures |
| Pre Authorization | medical necessity |
| HDHP | high deductible health plan |
| Cafeteria Insurance | let's us put money aside for own healthcare HSA;FSA |
| CoPay | pay at time of visit |
| Deductible | must pay before insurance will pay |
| Premium | pay periodically to keep a plan |
| EOB | Explanation of benefits |
| ICD-10 codes | 3-7 digit code Alpha Numerical |
| Tricare | Standard, Extra & Prime |
| CHAMPVA | Veterans, honorable discharge |
| COBRA | when you lose your insurance |
| Unit values for each procedure codes; for filing claims for all EXCEPT Medicare | RVS |
| RBRVS | JUST MEDICARE/All Fees for Medicare |
| Layman term EOB, called RA for Medicare. RA sent to Pt's, ___________ sent to PT | MSN, because it is from MEDICARE |
| terms in a group insurance policy that allowed the insured to continue same or lesser coverage under an individual policy | conversion priviledge |
| Advanced Beneficiary Notice | medicare doesn't deem a service or supply necessary |
| FDCPA | Fair Debt Collection Practice Act |
| 2 digit modifier in CPT | enhances, backs up or changes the original code |
| ICD-10- | 3- category, etiology, location, duration; Volume I & II Index is V2; descriptions V1 |
| HCPCS I & II | DME; DME POS; temporary or permanent |
| HSA; FSA | only for health; use w/ other things but you get a charge |
| giving funds | payer, maker, drawer |
| receiving funds | payee bearer |
| financial institution | drawee |
Created by:
Gmtassa23
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