THIRD-PARTY PAYER REQS Flashcards
begins by creating the pt’s acc w/ preregistration…
foundation of a claim
it is collected & used in the pt’s acc & will appear throughout the system…
PT Demographic Info
this includes gathering pt’s demographic info & insurance info…
New PT Registration
it is a form that a pt signs to give permission for the payer to pay the provider directly…
Assignment of Benefits (AOB)
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…
Notice of Privacy Practices (NPP)
these are info that should be confirmed at visit(s) for established pts to ensure it is current & accurate…
Demographic & Insurance info
they provide coverage for medical expenses & other loss to the policyholders…
Third-party Payers
it is someone financially responsible for a minor, usually a parent or legal custodian, & it is not always the pt
Guarantor
it is the most common type of payer billed for healthcare services…
Medical Insurance
it is a pt’s medical record in a digital format that resides within a hco…
Electronic Medical Record (EMR)
it is a collective of medical
records that is used and shared by more than one organization provider…
Electronic Health Record (EHR)
it’a an insurance that provides benefits and wage replacements to employees who need medical care due to a work- related injury…
Worker’s Compensation
a contractual agreement between the policyholder and insurance company that protects the driver and passengers…
Auto Insurance
this identifies the coverage requirements for auto insurance…
National Association of Insurance Commissioners (NAIC)
type of policy that typically have a higher premium because they transport people or products…
Commercial policies
