Midterm Review Flashcards
Respondeat superior
“Let the master answer”
EOB/remittance advice
Statement describing payment to physician from insurance.
Medical malpractice insurance
Liability insurance
Deductible
Amount patient pays before insurance pays
Co-payment
Fixed amount the patient must pay at each visit.
Respipsaloquitor
” it speaks for itself”
Super bill
Charge slip
Guarantor
Person financially responsible for a bill
Beneficiary
One who holds the policy
Ie: Dad is the beneficiary on the insurance.
Medicare and Medicaid are both
federal programs ran by the state
Policy holder is also known as
Subscriber or member
Patient ledger
Financial statement
CMS 1500
Universal health form
PHI
Privileged and non privileged information.
4 parts of Medicare are
- Hospital coverage
- Dr.’s office
- HMO
- Rx(prescriptions)
Emancipated minor
Person younger than 18 with rights of an adult.
Birthday rule
Parent closest to January.
HIPAA I
Protects health insurance coverage for workers and their families when you change or lose their jobs.
HIPAA II
Addresses the security and privacy of health data.
Confidentially violation has to be reported to
Police or board of health.
Dirty claim
An insurance form submitted with errors.
JCAHO
Joint commission on the accreditation of healthcare organizations:
Private, non-profit organization who’s mission is to continuously improve the safety and quality of public health care.
Ethics
Morals
Etiquette
Manners
