Help
Options
Didn't know it?
click below
click below
Knew it?
click below
click below
Don't Know
Remaining cards (0)
Know
retry
shuffle
restart
0:00
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.
Normal Size Small Size show me how
Normal Size Small Size show me how
SBGR MedTrak
SBGR ALH 150 MEDTRAK Wk 4 (2012 EK)
| Question | Answer |
|---|---|
| Out the door | when the doctor is done with the patient and the patient can be discharged |
| occupational health reason | when the patient has visited for an occupational health/work-related visit the charges are sent to the employer or the employer's workers' compensation insurance |
| personal reason | when the patient visits the facility because of a NON work-related injury or illness |
| co-payment | flat dollar amount paid by the patient at each visit |
| co-insurance | patient portion paid that is a percentage (%) of the charges |
| global billing period | period of time for surgical procedures when the patients visit is included in the total cost of the surgery |
| incomplete visits | results of the patient's tests are pending |
| results pending | used to state that the testing is done by another department or provider and the results need to be waited for |
| billable items | converting the clinical activities into information into data in order to bill for services |
| super bill | a paper document that lists various services and diagnoses that may be provided or serviced at the facility |
| billing coders | staff members that convert the clinical information into numbers using ICD-9 and/or CPT codes |
| rate tables | tables that show what the charges are for a particular service |
| line item charge | one billable item listed on one line of the billing form |
| billing editors | staff members that review the billing information to determine if the line item charges are reasonable and complete |
| further review needed | when the billing editors request further information of the physician so that they can complete the review |
| completed visits | visits that have had all further review done |
| needs authorization | when a visit needs to be authorized before it can be billed out |
| demographics need review | the name and address of the patient or the employer need to be reviewed before the charges can be posted |
| provider notes are incomplete | provider notes are ready to be reviewed before releasing the charges |
| charges available for review | charges are ready for posting to an invoice |
| unbilled dashboard | area of the MedTrak system that is accessed in order to see charges for patient visits that are ready for posting to an invoice |
| commercial insurance | a specific class of insurance |
| CMS1500 | a form used to bill physician charges |
| post charges | an activity using the billing system that puts charges on an invoice |
| invoice | frequently referred to as a bill. This may be a CMS 1500 |
Created by:
SBGrandRapids
Popular Medical sets