ABN (advanced beneficiary Notice) - ANSWERSA form needing pt's signature-when
Medicare does not or is not expected to cover test or procedure
STAT - ANSWERSsomething that is emergent
STAT Referrals - ANSWERSa type of referral that is requested from a Dr. needing to be
dealt with in 24 hours. Requires phone call ro ins. and fax to facility
Informed Consent - ANSWERStype of consent where a pt. is notified of all risks,other
medical option's and HIPPA law.(ex. 15 y/o HIV Test)
Fee schedule - ANSWERSa document established by the dr,Re: prices for service.
(Note: payment schedule will be dictated by insurance contracts) *must be updated
regularly
CEU - ANSWERScontinuing Education done by medical professionals with current lic's
or certifications to ensure knowledge stays current.(Note: each lic/cert requires it's own
cell component)
Tracking unpaid Vendors - ANSWERSmake file marked unpaid vendors. checked bi-
weekly
verifying patients insurance - ANSWERS-call prior to apt.-Manditory for all N.P.
-verify date of coverage,deductibles,copayment amont and ask for free schedule.
Verifying insurance for walk in pt's - ANSWERS1. ask pt. for demo info
2. if apt available make apt today
3.if no apt avaliable triage call HIPPA - ANSWERSan act that prohibits releasing any
info on a pt. by-comp.,fax,phone or verbal withough pt. consent
Except: 1) medical staff to medical staff
2) supoena
3) no consent needed if pt. present
Reconciling a bank deposit - ANSWERSprior to depositing money in the bank CMAA
must make sure the total of checks and cash equal the deposit slip amount.
Right to know law - ANSWERSlaw that stipulates employee's have the right to know
what they will be expsed to (ie. rapes,murders)
Co-insurance - ANSWERSits the percent an insured person pays after the insurance
deductible is met