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HCA TRAINING

QuestionAnswer
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
Created by: dmattaRx
 

 



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