MDCA 1321 Administrative Procedures Unit A Key
Concepts-Questions & Answers Solved 100%
Correct.
Appointment schedule
a list of all the patients to be seen in the practice for a particular time period
Appointment slot
a single space or hole in the appointment schedule
Overbooking
the practice scheduling more patients than the physician can see, also called double booking
Scheduling formula
refers to a particular way each practice has of determining how long it takes to provide each
service
Eligibility
a term used to identify whether or not a pt is eligible to receive insurance benefits
Encounter form
a printed list of the most common procedures and treatments performed by the dr
Basic Ins Coverage
ins usually covers the physician's fee, hospital expenses up to a maximum amount and surgical
fees
, Major medical Ins
sometimes called catastrophe ins because it is designed to help offset huge medical expenses that
result from a lengthy illness or serious accident
Comprehensive Ins coverage
insurance combines the benefits of both basic ins and major medical ins
Medicare
an insurance program sponsored by the federal government to protect the elderly and disabled
population
Medicaid
a financial assistance program sponsored jointly by the federal government and the states to
provide health care for the poor
Managed Care
ins coverage that attempts to keep medical costs under control by providing incentives for the
physician to keep the patient healthy
Service Limitations
refers to a specific detail in each managed care contract that determines which services will or
will not be covered
Contractual rate
a managed care system that refers to a predefined price the ins co pays for services the physician
performs
Concepts-Questions & Answers Solved 100%
Correct.
Appointment schedule
a list of all the patients to be seen in the practice for a particular time period
Appointment slot
a single space or hole in the appointment schedule
Overbooking
the practice scheduling more patients than the physician can see, also called double booking
Scheduling formula
refers to a particular way each practice has of determining how long it takes to provide each
service
Eligibility
a term used to identify whether or not a pt is eligible to receive insurance benefits
Encounter form
a printed list of the most common procedures and treatments performed by the dr
Basic Ins Coverage
ins usually covers the physician's fee, hospital expenses up to a maximum amount and surgical
fees
, Major medical Ins
sometimes called catastrophe ins because it is designed to help offset huge medical expenses that
result from a lengthy illness or serious accident
Comprehensive Ins coverage
insurance combines the benefits of both basic ins and major medical ins
Medicare
an insurance program sponsored by the federal government to protect the elderly and disabled
population
Medicaid
a financial assistance program sponsored jointly by the federal government and the states to
provide health care for the poor
Managed Care
ins coverage that attempts to keep medical costs under control by providing incentives for the
physician to keep the patient healthy
Service Limitations
refers to a specific detail in each managed care contract that determines which services will or
will not be covered
Contractual rate
a managed care system that refers to a predefined price the ins co pays for services the physician
performs
