1. Health Insurance Portability and Accountability Act (HIPAA)
ANS protects a pa-tient's personal and medical information including use and disclosure of
personal health information (PHI)
2. personal health information (PHI)
ANS Any individually indentifiable health infor-mation such as name, DOB, phone number,
address, etc. that is transmitted or maintained by electronic media such as a computer
3. usual fee
ANS normal fees charged by a provider
4. reasonable fee
ANS fee for service or procedures that require extra time and effortfor the provider due to the
level of complexity of the procedure
5. customary fee
ANS a range of fees charged by the providers who have similar trainingand experience and
practice in the same geographic area
6. capitation
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,ANS a fixed amount of money paid to a provider by a third-party payer perindividual enrollee
for an established period
7. source-oriented
ANS medical record documentation template that is organized bythe entity that supplied the
data
8. Stream scheduling
ANS also called time-specified scheduling, is scheduling patientsat a specific time with enough
time reserved the visit. The amount of time for each appointment varies depending on the
patient's condition/reason
9. cluster scheduling
ANS scheduling involving grouping patients who have similarconditions into specific
conditions into specific time slots or days
10. Wave scheduling
ANS Scheduling three people in the first 30 min of the hour and are taken to be seen as they
arrive. All patient scheduled for that hour are seen withthat hour
11. Modified wave scheduling
ANS scheduling patients to arrive at intervals during thefirst half of the hour with no patients
scheduled during the second half to catch up
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, 12. open hours scheduling
ANS a system of scheduling in which patients arrive at thedoctor's office at their convenience
and are seen on a first come, first serve basis
13. scheduling all cardiac patients on Mondays and Wednesdays and oncolo-gy patients
on Tuesday and Thursday is which type of scheduling?
ANS cluster
14. what type of appointment system allows flexibility to allow for the mostconsistent
patient flow?
ANS wave
15. HCPCS codes
ANS service and procedure codes for medicare and are not diagnosiscodes
16. bundled codes
ANS codes used to group together one or more procedures orservices that are billed as
one procedure or service
17. multiple coding
ANS reporting several codes to fully describe the condition; usedfor diagnosis coding
18. Modifers
ANS Added information or changed description of procedures and ser-vices, and are a part
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