EHR link 4 ch 6 & 7
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
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| show | guarantor
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| Unintentional deception in which a provider inappropriately bils for services that are not medically necessary, do not meet current standards of care, or are not medically sound is known as | show 🗑
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| show | coding variance
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| show | compliance plan
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| The standsrd claim form used by a non-institutional provider or supplier to bill medicare and most other insurance carriers for covered services is known as | show 🗑
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| A fixed, out-of-pocket expenfor covered services specified by the parient's healthcare plan and due at the time the service is rendered is known as | show 🗑
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| A compreehensive set of medical codes and corresponding lablels that describes procedures, treatments, and services for the purpose of determining rembursment rates is called | show 🗑
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| An info exchange techonoly that facilitates the rapid, accuret transfer of encrypted data in a standardized, mutually agreed upon format is known as | show 🗑
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| EDI | show 🗑
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| A preprinted receipt given to the patient during each visit that lists the diagnosis and procedure codes most often used in the practice, along with info, account balance, and follow-up instructions is called an | show 🗑
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| show | fraud
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| A coding system used to describe inpatient hospital diagnoses and procedures and hospital-based outpatient services and doctor office visits is called | show 🗑
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| The procss of assigining standard numeric or alphanumeric codes to diagnoses, procedure, and treatment for reimbursment purposes is known as | show 🗑
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| The unauthorized use of someone else's personal info to obtain medical services or submit fraudulent medical insurance claims for reimbursement is known as | show 🗑
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| An outcomes-based payment model that offers providers financial incentives for meeting specific stansards and electronically documenting compliance with them; punitive measures may be applied to providers who fail to comply is called | show 🗑
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| An individual or entity other than the patient (the first payer) or the provider (the secondary party) that is financially responsible for a portion of the patient's healthcare bills is known as | show 🗑
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| show | body mass index (BMI)
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| BMI | show 🗑
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| show | clinical decision support
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| show | clinicla decision support (CDS)
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| A control value (a quantity or measurement) that serves as a benchmark against which later deviations (movement away from the baseline) can be compared is known as | show 🗑
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| Disease that exist at the same time but are unrelated, such as arthritis and hypertension is called | show 🗑
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| show | evidence-based practice
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| The degree to which patients are able to stay informed about health and wellness and use this info to make well-considered dicisions about their own care id known as | show 🗑
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| The use of health education, diagnostic screening, healthcare interventions, lifestyle modifications, and self-care to improve the quality of life and extend the life span is known as | show 🗑
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| A legal doctrine that holsa that medical services rendered must be reasonable and necessary according to generally accepted clinical standards is known as | show 🗑
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| What starts with the scheduling of a patient and continues through the collection of the last payment for services rendered | show 🗑
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