CHAA Certification Latest Update with Verified Solutions

CHAA Certification Latest Update with Verified Solutions Accepting Assignment When a provider agrees to accept the allowable charges as the full fee and cannot charge the patient the difference between the insurance payment and the provider's normal fee. Access The Patient's ability to obtain medical care. The ease of access is determined by such components as the availability of medical services and their acceptability to the patient, the location of health care facilities, transportation, hours of operation and cost of care. Account Number A number assigned to each account. The number is used to identify the account and all charges and payments received. Acute Care Medical attention given to patients with conditions of sudden onset that demand urgent attention or care of limited duration when the patient's health and wellness would deteriorate without treatment. The care is generally short-term rather than long-term or chronic care. Acute Inpatient Care A level of health care delivered to patients experiencing acute illness or trauma. Acute care is generally short-term less than 30 days. Add-Ons Patients who are scheduled for services less than 24 hours in advance of the actual service time. Adjustor Insurance company representative Administrative Costs Costs associated with creating and submitting a bill for services, which could include, registration, utilization review, coding, billing, and collection expenses. Admission Authorization The process of third party payor notification of urgent/emergent inpatient admission within specified time as determined by payors which is usually within a 24 to 48 hour or next business day. Admission Date The first date the patient entered the hospital for a specific visit. Admitting Diagnosis Word, phrase, International Classification of Disease (ICD9) code used by the admitting physician to identify a condition or disease from which a patient suffers and for which the patient needs or seeks medical care. Admitting Physician The physician who writes the order for the patient to be admitted to the hospital. The physician must have admitting privileges at the facility providing the health care services. Advance Beneficiary Notice (ABN) A notice that a care provider should give a Medicare beneficiary to sign if the services being provided may not be considered medically necessary and Medicare may not pay for them. The advanced beneficiary notice (ABN) allows the beneficiary to make a informed decision prior to services whether or not he/she wishes to receive services. ABNs are not routinely given to emergency department patients. Advanced Directives An advance directive is a written instruction relating to the provision of health care when a patient is incapacitated. It could include appointing someone to make medical decisions, a state expressing the patients wishes about anatomical gifts (like organ donation), and general statements about whether or not life-sustaining