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HCA TRAINING
| Question | Answer |
|---|---|
| What is HCA mission statement? | We serve and enable those who care for and improve human life in their communities |
| HCA division sites | FL , GA ,SC 56 facility sites And 4 divisions |
| HCA CLIENT FACILITIES | 59 facility sites 24 states. WA, OR , NV ,WY, UT ETC |
| ICS | Independent client services |
| GHR | Global human resource |
| What is the meaning of ONE CHOICE? | To provide education and an environment where all people feel valued , respected, important, heard and included |
| What is the meaning of ONE VOICE | |
| To offer engagement ideas , voice concerns or issues that affect them or their peers | |
| DLP | Data loss prevention |
| Media connect | |
| Podcast / YouTube of company | |
| What is the number for the IT help desk | 8662218921 |
| What is parallon program elements | |
| 1 setting standards 2 communication 3 monitoring /auditing 4 organizational structuring | |
| What is the number to report concerns | 8553874421 |
| What does EMTALA mean | Emergency medical treatment and labor act |
| What does SSC mean | Shared service center |
| What is parallons values | 1 integrity 2 collaboration 3 service 4 respect 5 adaptability 6 accountability |
| Where is parallons headquarters located ? | Nashville , Tennessee |
| Were is Far West Market/States (Support) located? | Nashville SSC -shared service center |
| What year was parallon founded? | 2011 |
| Whos is Parallon Parent Company ? | HCA , The Hospital Corporation of America |
| What are the steps for patient information ? | 1 collect 2 store 3 use 4 protect |
| What year was HIPPA started | 1996 |
| What year was HITECH started | 2009 |
| What year was the omnibus rule started | 2013. September 23 ,2013 |
| What does HIPPA mean | Health insurance portability and accountability act |
| What does HITECH mean | Health information technology for economic and clinical health act |
| What does TPO mean | Treatment , payment , healthcare operations |
| What does PHISH stand for | P - personal data reference or request H - hyperlinks or attachments I - inaccurate information S - suspicious sender / (external) in subject line H - hurry up and respond |
| Who are the 3 cofounders of HCA | Dr. Thomas Frist Sr , Jack Massey , Dr. Thomas Frist Jr |
| What does AIDET mean | A - acknowledge i - introduce D - duration E - explanation T - thanks |
| What does AMA mean | Against medical advice |
| What does AKA mean | Also know as |
| What does CIV mean | Central insurance verification |
| What does NR mean | Not required |
| What does POE mean | Place of employment |
| What does RSRCH mean | Research |
| What does PYMT mean | Payment |
| What does FED MNDT mean | Federal mandate |
| What does STMT mean | Statement |
| What does PT RESP mean | Patient responsibility |
| What does STTL mean | Settlement |
| What does REIMB mean | Reimburse |
| What does PHYS mean | Physician |
| What does F/U mean | Follow up |
| What does BOM mean | Beginning of month |
| What does SW mean | Spoke with |
| What does BLD mean | Billed |
| What does OVPD mean | Overpaid |
| What does CLD mean | Called |
| What does RQSTD mean | Requested |
| What does RCVD mean | Received |
| What does OOP mean | Out of pocket |
| What does EMC mean | Emergency medical condition |
| What does DED mean | Dedicated emergency department |
| What does QMP mean | Qualified medical professional |
| What does TRIAGE mean | Order of priority |
| What does MSE mean | Medical screen exam |
| What does PRUDENT LAYPERSON mean | Non-clinical person |
| What does ESP mean | Emergency screening program |
| For the Uninsured Process —- what does No Coverage Self Pay mean? | |
| Has insurance but doesn’t cover ( med surgery plastic ) (cosmetic) | |
| For the Uninsured Process —- What does no coverage uninsured mean? | Limited plan insurance plan has been terminated |
| For the uninsured process —- What is the meaning of IPLANS | 1 Medicaid pending PRIMARY FIRST STEP 2 Charity Pending —IFFF pt doesn’t qualify for a first step 3 Uninsured Discount (DON’T QUALIFY FOR PART 1 OR TWO) |
| For the uninsured process what numbers do you enter in the policy number section | 999999999. 9 nines ALWAYS COLLECT UPFRONT @ TIME OF SERVICE (FACILITY HAS SET AMOUNT BASED ON PT TYPE) |
| What does RQA mean | Registration quality assurance |
| What is the steps for REGISTRATION QUALITY ASSURANCE | 1 insurance data 2 demographic data 3 Medicare secondary payer compliance |
| What does HIS mean | Health information system ( meditech , expanse , epic , cerner ) |
| What does passport benefits mean | Benefits provided by the patient’s insurance policy |
| What does deductible mean | A Specific amount of money the patient owes before the other insurance |
| What does COPAY mean | A fixed dollar amount owed by the patient per visit or procedure |
| What does payment rate mean | The percentage of the procedure or visit the insurance company is responsible for |
| What does out of pocket max mean | The maximum amount of money the patient has to pay in a calendar year |
| What are the inpatient type examples | Admitted , assigned bed , 24 care IN = inpatient |
| What are the outpatient type examples | CLI - clinical ER - emergency RCR - recurring REF - referred INO - observation SDC - surgical day care |
| What is the process of medicare | First process - registration provides IM — time of admission OR change of status Second process - case management OR nursing staff provides IM again — 2 days prior to discharge Third process - patient to quality improvement organ — appeal |
| What does condition codes mean | Every patient you register should have at least one occurrence code on their account |
| What is the most commonly used condition codes | 02 - employee related accident — always reported with 04 occurrence code 08 - refused to give insurance info 17 - homeless patient 25 - non u.s resident |
| What are other common condition codes | 01 - military related ( during military service ) 03 - pt not covered by insurance listed 18 - maiden name retained ( cover by spouse plan) 39 - private room MN ( private room required ) 46 - tricare only |
| What are the Medicare codes | 06 - ESRD 30 month benefit period 07 - hospice non-terminal condition 09 - patient nor spouse employed 10 - pt and / or spouse employed , NO GHP 11 - disabled , NO LGHP |
| What are the steps for communicating with patients | Step 1 assess the need Step 2 contact a qualified medical interpreter - onsite ,virtual,over the phone Step 3 access the form Step 4 explain the service Step 5 use form to accept/waive service Step 6 document Step 7 continue to communicate |
| What are the communication fundamentals | AIDET ACKNOWLEDGE INTRODUCE DURATION EXPLAIN THANK YOU |