Cadence Fundamentals Questions & Answers 100% Correct!

Payor information, Plan information, Subscriber information, Member specific information - ANSWER-The main pieces of information stored in a coverage record are: An insurance company - ANSWER-Payor Set of benefits offered by an insurance company to a group of its members - ANSWER-Plan The person in whose name the insurance is issued - ANSWER-Subscriber Patient covered by the insurance - ANSWER-Member Process of making sure all the necessary information is present - ANSWER-Verification Patient, guarantor, and member - ANSWER-Three levels of verification The length of time after a patient, guarantor, or coverage has been assigned a status of verified that it will remain verified - ANSWER-Verification duration Copy fwd and reschedule - ANSWER-Two ways to reschedule a past appointment Hospital outpatient departments (HODs) - ANSWER-Can see both admitted patients and outpatients for the same treatment or care Pool - ANSWER-A predefined group of providers or resources the system automatically pulls from when scheduling certain visits Pulls in providers automatically and helps minimiZe the amount of information schedulers need to know. Pools create less room for error and speed up the scheduling process - ANSWER-Why might pools be useful for schedulers? True - ANSWER-In a hospital outpatient department, the attending provider is usually the provider with whom the patient is scheduled, the provider who ordered the procedure, or the patients PCP. Hospital accounts - ANSWER-Used to keep track of charges, payments, and other transactions in a hospital setting for visits or admissions. Patient class - ANSWER-Describes any type of care the patient is going to receive. Used to help recommend the type of hospital account that should be created for the encounter. Scheduling questionnaires - ANSWER-Used to collect appointment and patient information. Can appear based on the visit type being scheduled, the department in which scheduling is occurring, or all the time. Order - ANSWER-A procedure that needs to be scheduled for a patient.