CHAM STUDY GUIDE Terms in this set (9) What does the pre-encounter consist of? Customer Service Verification of Benefits Referral/Transfer of Services Scheduling Financial clearance Pre-registration Prior Authorization/Referral Requirement Cu

CHAM STUDY GUIDE
Jeremiah




Terms in this set (9)

Customer Service
Verification of Benefits
Referral/Transfer of Services
What does the pre-encounter consist of? Scheduling
Financial clearance
Pre-registration
Prior Authorization/Referral Requirement

Project lasting first impression
Customer Service Hiring right people
Provide training

maintaining the continuum of care for the patient being transfered between facilities as
Referral/Transfer of Services
well as intra/inter facility

Ensuring and special needs of the pt are available
Efficient pt flow
Scheduling Efficient use of facility resource
Provide patient education
Proper identification of the patient

Streamline the Reg process
Verification of insurance benefits
Pre-Registration
Clarifying testing, pre-operative or procedure requirement
Medical necessity checking

Assisting patient to meet healthcare obligation
Financial Clearance Education of the pt regarding their financial obligation for services rendered
Assisting with the applicaton process for gov or charity program

Regulatory Compliance ...

EMTALA Definition Emergency Medical Treatment and Labor Act

Adhering to all contractual, legal and regulatory requirement as well as hospital
EMTALA Function
regulation




1/1