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practice management > part 2 > Flashcards

part 2 Flashcards

1
Q

What is the dental insurance program?

A

A contract between a clients employer, and the insurance carrier

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2
Q

who is the “insured”

A

The person who purchases the contract

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3
Q

who is the “insurer”

A

The company that designed and sells the insurance contract

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4
Q

What is another word for the insurer?

A

carrier

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5
Q

Group contract

A

The boss get insurance for the group with employees that work for them

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6
Q

subscriber

A

Person who has subscribed to the insurance

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7
Q

dependents

A

Immediate family members on the subscribers insurance

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8
Q

Capitation program

A

When a group insurance contract is purchased at a cheaper cost, but the subscribers will only be allowed to see a specific dentist for treatment

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9
Q

Preferred provider organization

A

When the dentist is contracted by the insurance carrier to work under fixed fee schedule to provide service to a particular group

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10
Q

Healthy kids program

A

Helps Lauren come families under the age of 19 in British Columbia, eligible for $1400 of basic dental services every two years

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11
Q

first nations and inuit health

A

For for something in your health can get services like cleanings, x-rays, fillings, extractions

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12
Q

CINOT

A

Four children up to, and including 17 years of age in Ontario, who have dental conditions that could cause pain or infections, and who are not covered by dental insurance

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13
Q

co-payment

A

remaining cost that a patient will pay

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14
Q

deductibles

A

Annual fees based on either the calendar year contract years

what you pay to use your insurance?

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15
Q

exclusions

A

Items at the insurance company would not cover

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16
Q

limitations

A

Would be insurance carriers covering pre-existing treatment conditions, but limit the amount of coverage through an alternate benefits clause

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17
Q

pre determination form

A

Shows the potential cost before insurance

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18
Q

birthday rule

A

States that whatever parents birthday comes first is the first insurance used

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19
Q

what code beings with 0

A

diagnostic

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20
Q

what code begins with 1

A

preventive

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21
Q

what code begins with 2

A

restorative

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22
Q

what code beings with 3

A

endodontic

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23
Q

what code begins with 4

A

periodontics

24
Q

what code begins with 5

A

removable prosthodontics

25
Q

what code begins with 6

A

fixed prosthodontics

26
Q

what code begins with 7

A

oral surgery

27
Q

what code begins with 8

A

orthodontics

28
Q

what code begins with 9

A

adjunctive general

29
Q

Electronic data interchange (EDI)

A

The electronic submission of insurance claims

30
Q

what is the key to productivity

A

to set goals that will maximize production, minimize stress, and meet the needs of the patient in a unified effort

31
Q

What is the most effective and efficient method of appointment scheduling?

A

Manuel appointment books

32
Q

How would you indicate that the office is closed on an appointment book

A

diagonal lines

33
Q

When should an emergency client be treated?

A

Immediately

34
Q

When should an urgency patient be treated

A

as soon as possible that can comfortably wait until the next opening

35
Q

What do you use to make appointments in a manual book?

A

a pencil

36
Q

Block scheduling

A

Leaving a certain time for a higher revenue treatment

37
Q

When should the charts for patients be pulled?

A

At least one day ahead

38
Q

Short notice list

A

Used when a patient cancelled the appointment a new patient can come in and take their place

39
Q

How much earlier should new patient be asked to arrive at the dental office

A

5-10 minutes

40
Q

What should a new patient be given?

A

brochure outlining the policies in the philosophies of the dental office

41
Q

Double booking

A

when there are two CDAs, you can book twice as much

42
Q

When did you schedule young children or an anxious patient for an appointment

A

Best in the morning

43
Q

What should you do when you’re running late?

A

Call your patient and let them know

44
Q

At what point a patient lateness, should you re-book

A

30 mins late

45
Q

Types of recall systems

A

telephone
Mail
Continuous appointment
Combination recall
Computerized recall

46
Q

at what time should you call the patients?

A

5 to 7 PM

47
Q

what is the most effective recall system?

A

telephone

48
Q

How many calls until you should we revert to sending the patient card?

A

3-4

49
Q

Why can you not book the patient one day before the recall

A

Insurance will not pay

50
Q

mail system

A

sending recalls via the mail, efficient though expensive

51
Q

how frequently should you send out recall mail

A

once a month

52
Q

continuous appointment system

A

Booking there next appointment as they finish the current one

53
Q

Combination of recall system

A

Incorporates all three systems saves a lot of time

54
Q

Computer is recall systems

A

Once you’ve entered, recalls report can be generated daily/monthly

55
Q

What is the objective of recall systems?

A

To encourage repeat business and preventive healthcare

practice management (3 decks)

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