Epic 360 Exam Answered 100% Correct

Centralized Scheduling - ANSWER-Allows schedulers to be organized in a single location, like a call center, and most patients call here to schedule appointments, regardless of where the visit will take place. Benefits: faster process. Decentralized Scheduling - ANSWER-Schedulers are organized by department and patients will call the specific department to schedule their appointments. Benefits: Scheduler understands nuances of different providers Blocks - ANSWER-Predetermined time slots on the provider's schedule reserved for certain patients or visits. Specific rules can be set up in Epic that require certain visits to be scheduled in predetermined blocks. Open Access Scheduling - ANSWER-Schedules patients as soon as possible by redesigning the schedule to accommodate patients who need last minute or same-day appointments, regardless of the nature of the patient's problem. Benefit: more flexibility. Guarantor - ANSWER-Person or financial entity that is financially responsible for a patient. (Would not be the patient if it was a minor or worker's comp. Subscriber - ANSWER-The person in whose name the insurance is issued. There is only one. Member - ANSWER-Any person who is covered by the insurance coverage. Deductible - ANSWER-The flat amount (for the insurance company) that the patient must pay out of pocket before the insurance company will pay for any health services (or claim). Copay - ANSWER-A flat fee (for services) that the patient is responsible for according to the insurance policy. Coinsurance - ANSWER-A percentage of the total bill that must be paid by the insured each time a medical service is given before the insurance company will pay (EX: the patient owes 25% of the bill for primary care visits). Premium - ANSWER-The financial cost of obtaining insurance coverage. It is either paid as a lump sum or in installments during the duration of the policy. If you are paying a monthly fee, that amount is your premium. Indemnity health insurance - ANSWER-A type of insurance where patients have high premiums in exchange for more flexibility in choosing a provider. (Lower coverage=;ess flexibility).