SBGR MedTrak Word Scramble
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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 |
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