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Medical Billing/Code
Question | Answer |
---|---|
How many steps are in the Revenue Cycle? | - 10 |
What are the first 3 main steps in the Revenue Cycle? | - Preregister Patients, Establish financial responsibility, Check in patients. |
- AP | - Accounts Payable |
- AR | - Accounts Receivable |
- CDHP | - Consumer Driven Health Plan |
- EHR | - Electronic Health Record |
- HIT | - Health Information Technology |
- HMO | - Health Maintenance Organization |
- MCO | - Managed Care Organization |
- PMPM | - Per Member Per Month |
- PMP | - Practice Management Program |
- PPO | - Preferred Provider Organization |
- PCP | - Primary care Physician |
What are the 3 main knowledge requirements MA's should know? | - Knowledge medical insurance, reimbursement options, and EHR systems |
Who is reliable on handling the CASH FLOW through the financial success | - The revenue Cycle |
_____ _____ specialist help ensure financial success. | - Medical Insurance Specialist |
_____ _____ is a written policy stating the terms of an agreement between ________ (a individual) and a ______ ______ (an insurance company). | 1. Medical Insurance 2. Policyholder 3. Health Plan |
Health plans provide _________ (payments for medical services). | - Benefits |
Health plans are often referred to as _________. | - payers |
- Describe this term... (Third-Party Payer) | 1. is a government agency or private organization insuring or paying for healthcare on behalf of beneficiaries |