Mod 11: Reimbursement & Dictation Flashcards
Reimbursement involves which 3 parties?
patient, provider, and ins. company
reimbursement method: reimbursement after services provided: “Fee for service” (FFS)
retrospective
new payment model: QPP
quality payment program
Medicare part B
what form notifies Medicare beneficiaries that services could be denied?
Advanced Beneficiary Notice of Noncoverage
describe Medicare “cap”
Annual monetary “cap” for reimbursement of services provided under Medicare Part B
“soft” Medicare cap combines which services?
PT & SLP
Defines max amount Medicare will reimburse for a service
Medicare Physician Fee Schedule (MPFS)
relative value units are based on:
practice expense values (cost of services)
Who is responsible for the accuracy & completeness of a document?
the author
how to dictate specific instructions?
“operator ___ “ -start new line; all caps, etc
how to start and finish a dictation note:
“begin note”
“end of dictation for pt. name”
