Administration AMCA Study Guide

Implied consent - Answer- A patient slightly pulls up their sleeve to get a blood draw. CHAMPVA - Answer- Veterans with service related disabilities are eligible for care under this. Group Health Insurance - Answer- health insurance consisting of contracts written between a group, (employer, union, etc.) and the health care provider Dependent - Answer- Someone who relies on someone else for income and care. Usually a child or spouse. The person who owns the Insurance policy is called: - Answer- Policy holder, Subscriber, or Member Clean claim - Answer- Error free claim form that has been processed and paid Fee Schedule - Answer- A list of charges or established allowances for specific medical services and procedures An elderly person collaspses in the waiting area, and you are the only Medical Assistant there. What is your FIRST step? - Answer- Alert the Provider Allowed amount - Answer- The insurance carrier is allowed to use any method to determine the amount for services. Doctorine of the Respondent Superior - Answer- The Provider is responsible for any errors made by the staff. Eligiblity to be a dependent on an insurance plan: - Answer- Person must be unmarried cluster scheduling - Answer- A method that brings several patients in at the same time, such as on the hour, to be seen by the provider; also known as wave scheduling. Wave scheduling - Answer- A certain # of patients are scheduled to arrive at the same time and are seen in which the order they arrive. New Patient - Answer- patient that has never seen a particular physician, or has not seen them within THREE years established patient - Answer- a patient who has been seen by a provider in the practice in the same specialty within three years Fixed appointment scheduling - Answer- One patient is scheduled for a specific appointment time.