Revenue cycle awareness Flashcards
Four steps of registration:
- Registration (patient access) and financial counseling
- Patient sent to clinical area (triage etc)
- Health information processes such as coding
- Patient financial services: bill sent to insurance or patient.
If patient presents with no insurance the first step is to
check medicaid eligibility
If patient presents with no insurance the second step is to
Sent to finance to determine if they can be placed on a payment program (up to 12 months) or if they meet other financial assistance options.
What is the health insurance marketplace?
Often state run store for health plan shopping and enrollment through website.
The marketplace was started with ______
Obama care
Obamacare synonym
Affordable care act (ACA)
Trumps proposal effect on tax penalty
removes penalty to taxes for not having insurance
Trumps worst effects on obama care
may remove pre-existing condition clause.
Transparency means:
insurance companies must be upfront about costs.
A co-pay is
a cost that accompanies a certain type of service.
What is an HMO
Health maintenance organization: determines who is and isn’t in network for certain services.
What is a PPO
This is a preferred provider organization and allows you to visit any in-network provider you would like without referral from own provider.
