e billing chapters 3/4/5/6/7

85 terms by renaealice

Create a new folder

Advertisement Upgrade to remove ads

backup data

a copy of data files made at a specific point in time that can be used to restore data to the systems

database

a collection of related bits of information

knowledge base

a collection of up to date technical information

MMDDCCYY format

a specific way in which dates must be keyed, in which MM stands for the month, DD stands for the day, CC represents the century, and YY stands for the year.

packing data

the deletion of vacant slots from the database

purging data

the process of deleting files of patients who are no longer seen by a provider in a practice.

rebuilding indexes

a process that checks and verifies data and corrects any internal problems with the data

recalculating balances

the process of updating balances to reflect the most recent changes made to the data.

restoring data

the process of retrieving data from backup storage devices

what are the 2 ways of issuing a command in medisoft

1. a command can be issued by clicking options on the menu bar 2. a command can be issued by clicking on the short cut buttons on the toolbar.

what are the 2 ways data are entered into a box

1. you enter data through the menu's or menu bar 2. enter data through buttons on the toolbar keying data into a text box.

what are the 3 hints in the help menu

1. hints 2. built ins 3. online

what menu provides access to office hours, Medisofts scheduling feature

you find the office hours under the activities menu

what is the purpose of the buttons on the tool bar

the buttons are icons, the represent the dropdown menu on the toolbar at the top

what is the format for entering data in Medisoft

the format is MMDDCCYY

describe 2 ways of exiting Medisoft

1. to exit click the file menu button and the click the close button 2. the 2nd ways is to click on the X button in the upper right corner of the screen

why it is important to back up data regularly

backdata can be used to restore data to the system in the event the data in the system is accidentally erased

why is extra caution required when purging data

once data are purged from the system it cannot be retrieved

when is a data restore performed

if you share a computer in an instructional environment, it is recommended that you perform a restore before each new session to be sure you are working with your own data

in Medisoft, what are the two places a patients balance can be recalculated?

1. the first place a balance can be recalculated is in the patient's individual file through the transactions entry dialog box by clicking the account total column. 2. the second place to recalculate the patients is through the file maintenance section on the file menu and access recalculate balance tab

how many options are in the reports menu

there are 11 options

what is the first choice on the Lists menu

the first choice is Patient/Guarntors and cases

list the options on the activities menu 1

enter transactions

list the options on the activities menu 2

claim management

list the options on the activities menu 3

statement management

list the options on the activities menu 4

enter deposits/payments

list the options on the activities menu 5

Unprocessed transactions

list the options on the activities menu 6

patient ledger, guarantor ledger,

list the options on the activities menu 7

quick balance, patient quick entry

list the options on the activities menu 8

billing charges, small balance write off

list the options on the activities menu 9

colllections list, add collection list item

list the options on the activities menu 10

launch work administrator, final draft, add new task

list the options on the activities menu 11

appointment book, eligibility verification, claims manager

what are the 4 options under File Maintenance

purging data, packing data, recalculating balances, rebuilding indexes

chart number

a unique number that identifies a patients

established patient

a patient who has been seen by a provider in the practice in the same specialty within 3 years

guarantor

an individual who is not a patient of the practice, but who is the insurance policyholder for a patient of the practice

new patient

a patient who has not received services from the same provider or a provider of the same specialty within the same practice for a period of 3 years

how do you create a chart # in Medisoft

under list menu, patient/guarantor, new patient, enter first 5 characters of the patients last name, 2 letters of the first name and the last is a 1 zero

How do you create an employer # in Medisoft

employers #s are entered there the list menu, under addresses, click new button, key E for employer, first 2 letters of Employers title followed by 2 zeros

what is the quickest way to open a patient or case

is to double click on the line associated with a patient or case

what does the copy address button saves

it sames time when entering patients with the same address, such as family members, clicking on the copy address button provides the option to copy demographic information from a patient already in the database

throughout Medisoft what function does the F8 button serves

the F8 function key serves as a shortcut for entering data in Medisoft in another part of the program without leaving the current dialog box.

right clicking

allows searching easier on a column heading in a window that contains several columns. you can select the located button, or can select alt+ L. This opens a locate window that defaults the fields selection to the column you selected

case

a case is a grouping of transactions for visits to a physicians office, organized around a condition. when a patient comes for treatment a case is created

example of case

all treatments and procedures for a patient's bronchial asthma would be stored in a case called "Bronchial Asthma"

when do you set up a new case

a new case should be set up each time a patient comes to see the physician for a NEW CONDITION or when there is a change in the provider or insurance carrier

why set up a new case when the ins. carrier changes

you set up an new case for the insurance carrier because it makes it easier to submit insurance claims to the appropriate carrier.

would you set up more than one case per office visit

yes, you would if the customer was diagnosed with 2 or more unrelated conditions.

when are cases closed

when the patient is no longer being treated for the condition, or when the insurance policy in the case is no longer in effect, or when the patient leaves the practice

where are cases created

in the list dialogue box under the patients/guarantors selection then select the Case radio button

what options can you create once the case radio button is selected

you can delete, edit, new, copy case print grid, quick entry, and close

in the Edit section of Case radio button

it contains 11 different tabs that can be edited. the condtion, misc, medicid and tricare, comment, EDI, Personal, ACcount, Diagnosis, Policy 1, Policy 2, Policy 3 (all info to change the insurance carriers)

what is the only thing you cannot change in the edit section of the radio button

you cannot change the case number

the delete case button

will delete the case from the system if their are not open transactions that have not been fully paid by the insurance carrier or the the policyholder.

the delete case button 1

should be used with caution because the information cannot be retrieved and will be lost forever. the case should only be deleted when the patients records will never be needed again.

what is the normal policy in retaining case information

the normal retention period is 5 years for cases

copy case button

copies all the information from an existing case into a new case. it is especially useful for existing patients that present with a new condtion

the print grid

is used to select or deselect columns of information for printing purposes

quick entry

allows the office to customize the way patient data is entered

close button

closes the patient list dialog box

chart

is a folder that contains all records pertaining to a patient

record of treatment and progress

contains the physicians notes about a patients condition and diagnosis.

encounter form

is a list of services performed and the charges for those services

referring provider

a physician who recommends that a patient see a specific other physcian

account tab

on the case area includes info on a patients assigned provider, referring provider, and referral source, as well as other information that may be used is some medical practices but not others

account tab=attorney box

is used for accident cases. if a patient has an attorney, the name of the attorney should be selected from the drop down list, if not there enter under list menu, under addresses

account tab-case billing code

is a one or 2 character box used by some practices to classify and sort patients by insurance carriers, diagnosis, billing cycle, or other kinds of information

account tab-price code

the price code determines which set of fees is used when entering transactions for this case.

where are price code fees entered

they price code fees are entered under the list menu, drop down to the Procedure, payment, adjustment

primary insurance carrier

the first carrier to who claims are submitted

policy 1 tab

is where information about a patient's primary insurance carrier and coverage is recorded

insurance 1 section

lists the code number and name of insurance carrier, use f8 to add new insurance companies from this screen

policy holder 1

is the guarantor on policy, if not a patient of this practice, you must establish a chart # for the guarantor

capitated plan

an insurance plan in which payments are made to a physician by a managed care company for a patient who selects the physician as his or her primary care provider, regardless of whether the patient visits the physician

UB-04

is the treatment authorization field in the policy 1 section that record the treatment authorization Used for hospital claims

insurance coverage percents by service classification

the % of fees that an ins. carrier covers is entered in the Ins. Coverage Percents by Service Classification box. some ins. plans pay different percentages of charges based on the type of service provided. example 80 for medical, 100% lab, 50 % for outpaitent mental health

crossover claim box

located in Policy 2 section of the case section is only used when a patient has medicare as the primary carrier and Medicaid as the secondary carrier

the Condition Tab

contains or stores data about a patients illness, accident, disability and hospitalization. this information is used by ins carriers to process claims

charges

amounts a provider bills for the services performed

payments

monies received from patients and insurance carrierswha

adjustments

changes to patients accounts that alter the amounts charged or paid

what are the 3 transactions performed in Medisoft

payments, adjustments, charges are the 3 transactionsqw

what are examples of adjustments in Medisoft

return check fees, insurance writeoffs, medicare adjustments, and changes in treatment

what are the 2 locations payments are entere

in the activities menu, in the enter transaction drop down menu (use if payment received at time of office vist) or in the deposits, payments menu (use when receive payments from ins. carriers by mail or electronically . also for mailed payment from patients)

Please allow access to your computer’s microphone to use Voice Recording.

Having trouble? Click here for help.

We can’t access your microphone!

Click the icon above to update your browser permissions above and try again

Example:

Reload the page to try again!

Reload

Press Cmd-0 to reset your zoom

Press Ctrl-0 to reset your zoom

It looks like your browser might be zoomed in or out. Your browser needs to be zoomed to a normal size to record audio.

Please upgrade Flash or install Chrome
to use Voice Recording.

For more help, see our troubleshooting page.

Your microphone is muted

For help fixing this issue, see this FAQ.

Star this term

You can study starred terms together

NEW! Voice Recording

Create Set