Ch36 Dental Office Management

Question 0

Account receivable

Answer 0

Amount a business or an office is owed for goods or services.

Question 1

Accounts payable

Answer 1

Amount a business or an office owes for goods or services.

Question 2

Americans with Disabilities act

Answer 2

1990 law passed to end discrimination against people with disabilities.

Question 3

Assignment of benefits

Answer 3

Area a patient must sign to authorize the insurance carrier to make payments directly to the dentist.

Question 4

Beneficiary

Answer 4

The patient who is entitled to the benefits under any dental insurance plan.

Question 5

Benefit-less-benefit

Answer 5

A insurance plan that allows reimbursement to be limited to the higher level allowed of the two plans so that there is no duplication of the benefits.

Question 6

Birthday rule

Answer 6

Establish for cases when both parents have coverage for a child; the parents birthday month and day (not year) that comes earliest in the calendar year as the primary care.

Question 7

Carrier

Answer 7

Dental insurance companies that pay the agreed benefits for the patients treatment.

Question 8

Cashiers check

Answer 8

A check that is guaranteed by the bank for the amount of the check is written for.

Question 9

Certified check

Answer 9

A check that the bank has certified is good for the amount that is written for.

Question 10

Certified mail

Answer 10

Mail sent that provides the sender confirmation of delivery.

Question 11

CDT Codes

Answer 11

Current dental terminology codes; five digit codes used to submit insurance claims.

Question 12

Check register

Answer 12

Record of all checking accounts transactions; includes deposits to and checks made from the account.

Question 13

Computerized system

Answer 13

Units of computer parts that function together to perform tasks.

Question 14

Coordination of benefits (COB)

Answer 14

When two insurance carriers coordinate the benefits not to exceed the total cost of the actual dental expense.

Question 15

Coverage

Answer 15

Benefits available through dental insurance.

Question 16

Deductible

Answer 16

Amount paid before benefits take effect.

Question 17

Dependent

Answer 17

Children covered under dental insurance usually under 18 or when done with schooling.

Question 18

Double booking

Answer 18

Booking additional patients at down times with the initial patients procedures.

Question 19

Downtime

Answer 19

Time in the appointment book that is not used for appointments.

Question 20

Dual coverage

Answer 20

Two dental coverages; the primary is in first position and the balance is normally paid by secondary insurance.

Question 21

Eligibility

Answer 21

Determine if the patient is eligible for dental benefits.

Question 22

Ergonomics

Answer 22

Study work and space, including factors that affect workers health, productivity, and mental well being.

Question 23

Etiquette

Answer 23

Treating people/customers with respect, manners, politeness.

Question 24

Exclusion

Answer 24

Items dental coverage does not cover.

Question 25

Expendable

Answer 25

Supplies that are used up or disposed of after use. (Cotton balls and envelopes)

Question 26

Fair Debt Collection Practice Act

Answer 26

Legislation making it illegal to phone a debtor at inconvenient hours or to phone the debtors employers.

Question 27

Fee For Service

Answer 27

Payment to providers on a service-by-service rather than a salaried or captivated basis.

Question 28

Gross income

Answer 28

Total accounts receivable.

Question 29

Group plan

Answer 29

Insurance plan that covers several individuals. Company’s have group plans.

Question 30

Hardware

Answer 30

Physical computer equipment that processes data.

Question 31

Individual Plan

Answer 31

Insurance plan in which an individual has a plan without a group.

Question 32

Net income

Answer 32

The accounts payable subtracted from the gross income.

Question 33

Nonexpendable

Answer 33

Supplies that are not used up or disposed of after use (dental chairs)

Question 34

Overhead

Answer 34

Expenses required to run the practice.

Question 35

Overlap of time

Answer 35

When a doctor/dentist is required to be in two different places at once, or when two patients are scheduled for treatment at once.

Question 36

Overtime

Answer 36

Treatment time beyond that scheduled.

Question 37

Packing slip

Answer 37

list included with supply shipments stating everything that was included. List should be checked with box to see if their was any discrepancies.

Question 38

Payee

Answer 38

The person to whom the check or cash is to be payed.

Question 39

Petty Cash

Answer 39

Small amount of money kept in the office for minor expensive, such as for coffee supplies or postage due letters ect.

Question 40

Predetermination of benefits

Answer 40

To submit a treatment plan to a carrier to find out what the insurance will pay on the dental services; often called the pretreatment estimate.

Question 41

Premium

Answer 41

Amount the carrier charges the subscriber.

Question 42

Primary insurance

Answer 42

The subscribers insurance.

Question 43

Professional courtesy

Answer 43

Discount the provider gives the patient.

Question 44

Provider

Answer 44

Dentist who performs the dental service.

Question 45

Reimbursement

Answer 45

Payment made by the carrier to the patient or the dentist on the behalf of the patient for the dental fee.

Question 46

Secondary insurance

Answer 46

The subscribers spouses insurance.

Question 47

Software

Answer 47

Computer program( set of instructions) that tell the hardware what to do.

Question 48

Subscriber

Answer 48

Individual with dental insurance.

Question 49

Tickler file

Answer 49

System that serves as a reminder that events are to occur on specific dates.

Question 50

Truth in Lending Act (TILA)

Answer 50

A U.S. Federal law that is designed to protect consumers in any credit transactions.

Question 51

Usual,reasonable,and customary fees

Answer 51

Amount charged (fee) typically levied by the doctor/dentist for specific procedures.

Question 52

Usual fee

Answer 52

Is the fee typically charged.

Question 53

Reasonable fees

Answer 53

Is the midrange of fees charged for the specific procedure.

Question 54

Customary fees

Answer 54

Is the average charge physicians levy for the same procedure.

Question 55

Webinar

Answer 55

An online presentation, lecture or training session attended by multiple people from different locations at the same time; often can be interactive.