Ch 14: Review Test Flashcards
The Patient
When does creating a good patient-staff relationship begin?
When the patient telephones for an appointment
How can the healthcare staff find out what their patients’ expectations are?
Asking questions
The services offered by a medical facility usually cannot be felt or seen, which means what?
The services are intangible
Most physicians prefer to leave the subject of fees up to who?
Reception staff
Data that are explicitly linked to a particular individual (including data items that reasonably could be expected to allow individual identification) are referred to as what?
- Protected health information
- Individually identifiable health information
An arrangement by which a patient requests that his or her health insurance benefit payments be made directly to a physician or hospital is called what?
Assignment of benefits
Although healthcare practitioners are dedicated to the health and well-being of their patients, for most, their ultimate goal is what?
Making a profit
The total amount of fees collected divided by the total amount charged provides the practice with a(n) ____
Collection ratio
A patient’s name, age, address, telephone number, Social Security number, and employer information are generally referred to as what?
Demographics
When a medical facility uses patient billing software, it is crucial to do what?
Input data correctly
Most medical offices send out statements periodically, which is referred to as a ____
Billing cycle
Patients who have inadequate health insurance coverage, or no insurance at all are called what?
Self-pay patients
When no insurance is listed on a patient information form, the health insurance professional should do what?
Inquire as to why no insurance is listed
An installment payment plan of more than four payments falls under _____
The Federal Truth in Lending Act of 1968, Regulation Z
What act deals primarily with credit reports issued by credit reporting agencies?
The Fair Credit Reporting Act
An organization that obtains or arranges for payment of money owed to a third party is referred to as a ____
Collection agency
The process available to individuals or businesses to recover legitimate debts through the court system without using expensive legal advisors is known as what?
Small claims litigation
In a small claims suit, the party initiating the action is refereed to as the ____
Plaintiff
The parting being sued in court is called the ____
Defendant
It is important to know that a patient’s written authorization is not required if the patient’s information is used for what?
TPO
What entity has made “minor” changes in the paper CMS-1500 claim form?
NUCC
What three things are typically used for accurate business accounting practices?
- Disbursements journal
- General ledger
- Payroll register
Most healthcare offices report that collection calls are most successful between what hours?
5pm - 7pm
