IMPORTANCE OF COMMUNICATION Flashcards

1
Q

it includes self-expression and active listening to develop an understanding of what people are saying…

A

Success Interpersonal Communication

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2
Q

these forms of communications are critically important in healthcare…

A

Verbal & nonverbal

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3
Q

this is where communication starts…

A

Registration & Scheduling

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4
Q

What are the necessary details that must be collected and communicated in registration & scheduling?

A
  • pt’s insurance & benefits
  • pt’s financial responsibility
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5
Q

this is something billing & coding specialists should avoid…

A

slang terminology

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6
Q

communicating w stakeholders is critical component of…

A

Revenue-generating activities

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7
Q

What are the primary stakeholders in a health care org?

A
  • Policymakers
  • Patients (consumers)
  • Providers
  • Third-party payers
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8
Q

they are the organizations that
- cover medical expenses of the policyholder & dependents and
- responsible for maintaining financial stability of hc policies & programs …

A

Third-party payers

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9
Q

they analyze the
- premium rates
- covered benefits
- reimbursement for services rendered and - determine if changes need to be made to coverage plans for the following year…

A

Administrative Processes

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10
Q

it is
- composed of policymakers that
- determines who is eligible to receive care & what services are provided, how, where, & by whom
- define how services are paid

A

Regulatory Agencies

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11
Q

these are all closely regulated…

A
  • Data retention
  • Maintenance
  • Transmission
  • Usage
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12
Q

it is the critical components to maintain data…

A

Backup & Recovery

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13
Q
  • it determines how many pts are being seen in a certain health care setting &
  • includes population health management, quality improvement, & cost vs. reimbursement analysis
A

Administrative Uses of Data

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14
Q

it is a collective source of administrative data w/in an org…

A

Practice Management System

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15
Q
  • it is used by various public entities, medical registries, and providers to maintain the health and well-being of the population
  • determine the cost-effectiveness of treatment, procedures, and therapies
A

Clinical Uses of Data

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16
Q

refers to the records, files, & documents that are physically or digitally stored for future reference & use

A

Data Storage

17
Q

it is used for third-party payers to provide pt info like eligibility and patient responsibility amounts

A

Electronic data interchange (EDI)

18
Q

the process of collecting pertinent facts abt pt care & outcomes to perform security or other analyses…

A

Reporting Data

19
Q

they are the state & federal regulations/org that are responsible for ensuring health care organizations comply with regulations that safeguard patient information, billing, and health records

A

HIPAA & OIG

20
Q

it is the division pf Department of Health & Human Services (HHS) and responsible for investigating fraud & abuse related to Medicare, Medicaid, and other federally funded programs…

A

OIG

21
Q
  • it is a federal regulation that was designed to provide protection of confidentiality and security for patients
  • it’s the 1st rule that standardized how a patient’s information must remain confidential…
A

HIPAA

22
Q
  • a program developed by the OIG for health
    care providers to self-disclose instances of
    potential fraud
  • done voluntarily
  • OIG view as a cooperative effort toward compliance…
A

Provider Self-Disclosure Protocol (SDP)