THIRD-PARTY PAYER REQS Flashcards

1
Q

begins by creating the pt’s acc w/ preregistration…

A

foundation of a claim

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2
Q

it is collected & used in the pt’s acc & will appear throughout the system…

A

PT Demographic Info

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3
Q

this includes gathering pt’s demographic info & insurance info…

A

New PT Registration

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4
Q

it is a form that a pt signs to give permission for the payer to pay the provider directly…

A

Assignment of Benefits (AOB)

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5
Q

it is a form to let pts know how the hco plans protecting pts’ PHI and if there’s a breach what do they plan to do…

A

Notice of Privacy Practices (NPP)

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6
Q

these are info that should be confirmed at visit(s) for established pts to ensure it is current & accurate…

A

Demographic & Insurance info

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7
Q

they provide coverage for medical expenses & other loss to the policyholders…

A

Third-party Payers

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8
Q

it is someone financially responsible for a minor, usually a parent or legal custodian, & it is not always the pt

A

Guarantor

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9
Q

it is the most common type of payer billed for healthcare services…

A

Medical Insurance

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10
Q

it is a pt’s medical record in a digital format that resides within a hco…

A

Electronic Medical Record (EMR)

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11
Q

it is a collective of medical
records that is used and shared by more than one organization provider…

A

Electronic Health Record (EHR)

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12
Q

it’a an insurance that provides benefits and wage replacements to employees who need medical care due to a work- related injury…

A

Worker’s Compensation

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13
Q

a contractual agreement between the policyholder and insurance company that protects the driver and passengers…

A

Auto Insurance

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14
Q

this identifies the coverage requirements for auto insurance…

A

National Association of Insurance Commissioners (NAIC)

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15
Q

type of policy that typically have a higher premium because they transport people or products…

A

Commercial policies

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16
Q

help with medical expenses to the policyholder or passengers no matter who caused the accident…

A

Medical expense (Med Pay) policies

17
Q

covers the policy for events that occur to the home or personal property structure…

A

Homeowners Insurance

18
Q

these are primary policies that only insurance company billed for related services until the policy limit has been reached…

A

WC, auto insurance, and homeowners policy