NHA Module 11 - Administrative Assisting Questions With Complete Solutions!

Revenue Cycle - ANSWERSA series of administrative functions that are required to capture and collect payment for services provided by a health care organization Referral - ANSWERSAn order from a provider for a patient to see a specialist or to obtain specific medical services Practice Management System (PMS) - ANSWERSSoftware used to electronically manage administrative functions, such as scheduling appointments, integrating patient documentation from electronic health records, coding, billing, and revenue cycle tasks such as running aging reports and managing the accounts receivable Centers for Medicare & Medicaid Services (CMS) - ANSWERSA federal agency that oversees the Medicare program and assists states with Medicaid programs Real-time Adjudication (RTA) - ANSWERSA tool that allows for a submission of the coded visit to the insurance company by participating providers for reimbursement decisions by third-party payers while the patient is present Matrix - ANSWERSThe designed time frame for appointments based on the method of appointment durations Wave Scheduling - ANSWERSScheduling two or three patients during a designated hourly time period (last 30 min of the hour, patients seen in order of arrival) Double-booking - ANSWERSA type of scheduling in which two or more patients are scheduled within the same time slot Clustering - ANSWERSScheduling patients in groups with common medical needs New Patient - ANSWERSThe initial patient appointment or the first encounter after a 3-year absence from the organization Established Patient - ANSWERSPatient who received same-provider services within the last 3 years Eligibility - ANSWERSMeeting the stipulated requirements to participate in the health ca