Bus. Final Review Word Scramble
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Question | Answer |
FCRA | Fair Credit Reporting Act |
2 types of bankruptcy | Chapter 7 & 13 |
Individual Responsibility Program (IPR) | Concierge Medicine/Retainer |
Check 21 | 21st Century- paper to electronic |
Endorsements | Blank (just signature), Restrictive (for deposit only), Special or Full (pay to the order of) |
Accounting Systems | single, double, Peg, computerized |
Single | done by hand, accepted in both federal and states |
Double | books must balance, requires person w/ advanced accounting skills |
Peg Board | most popular and oldest (daysheet, deposit, etc..) |
Computerized | quickest, expensive, least amt of errors |
A/R | Accounts receivable- money coming in such as claims, co-pays, ins. payments |
A/P | Accounts Payable- monies going out; are liabilities |
Assets | anything owned by the business |
Capitol | original investement |
Proprietorship | owner's net worth |
liability | accounts payable, must pay out- BILLS |
credit | to trust |
CPT | Current Procedural Terminology |
CPT has how many sections? how many numbers in a codes? how many numbers in a modifier? | 6; 5;2 |
Cpt codes 99 | Evaluation & Management |
CPT codes 90 | Medicine |
CPT codes 80 | Path & Lab |
CPT codes 70 | Radiology |
CPT codes 60-10 | Surgery |
CPT codes 00 | Anesthesia |
E/M codes | TOS, POS, Pt Status- occifece |
Medicine | non-invasive medical procedures, inj. vaccines |
Path&Lab | cultures, microbiology |
ICD | International Classification of a Disease |
HMO | oldest, capitation yearly, no out of network, broekn into staff, group network |
PPG | IPA/HMO Ambulatory; PPO hospital |
POS | HMO & PPO |
IPA | an HMO but monthly capitation |
Medicare | 65 and older, blind, disabled, RBRVS |
Medicaid | poor, blind disabled, always secondary insurance |
Types of referrals | formal, direct, verbal, self |
exclusions | specific conditions that ins. policy will not pay |
waivers | if ins. doesn't pay, you can claim/ask for coverage |
Pre Certification | procedures |
Pre Authorization | medical necessity |
HDHP | high deductible health plan |
Cafeteria Insurance | let's us put money aside for own healthcare HSA;FSA |
CoPay | pay at time of visit |
Deductible | must pay before insurance will pay |
Premium | pay periodically to keep a plan |
EOB | Explanation of benefits |
ICD-10 codes | 3-7 digit code Alpha Numerical |
Tricare | Standard, Extra & Prime |
CHAMPVA | Veterans, honorable discharge |
COBRA | when you lose your insurance |
Unit values for each procedure codes; for filing claims for all EXCEPT Medicare | RVS |
RBRVS | JUST MEDICARE/All Fees for Medicare |
Layman term EOB, called RA for Medicare. RA sent to Pt's, ___________ sent to PT | MSN, because it is from MEDICARE |
terms in a group insurance policy that allowed the insured to continue same or lesser coverage under an individual policy | conversion priviledge |
Advanced Beneficiary Notice | medicare doesn't deem a service or supply necessary |
FDCPA | Fair Debt Collection Practice Act |
2 digit modifier in CPT | enhances, backs up or changes the original code |
ICD-10- | 3- category, etiology, location, duration; Volume I & II Index is V2; descriptions V1 |
HCPCS I & II | DME; DME POS; temporary or permanent |
HSA; FSA | only for health; use w/ other things but you get a charge |
giving funds | payer, maker, drawer |
receiving funds | payee bearer |
financial institution | drawee |
Created by:
Gmtassa23
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