week 9

Created by moneia_reed 

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34 terms

CO-WORKERS, FAMILY, FRIENDS

Confidential information about patients should never be discussed with

FOR AN OVERNIGHT STAY

A patient is considered an inpatient to the hospital on admission

48 HOURS

When a patient who has managed care contract is admitted to a hospital for an emergency, the managed care program needs to be notified within

72-HOUR RULE

The rule stating that when a patient receives outpatient services within 72 hours of admission, then all outpatient services are combined with inpatient services and become part of the diagnostic-related

PRINCIPAL DIAGNOSIS

The significant reason for which a patient is admitted to the hospital is coded using the

2 TO 4 DIGITS (AT LEAST 2)

ICD-9-CM procedure codes contain

CPT

The codebook used to list procedures on outpatient hospital claims is

ADMITTING CLERK

The person who interviews the patient and obtains personal and insurance information and the admitting diagnosis is a/an

NURSE

Daily progress notes are entered on the patient's medical record by a/an

UB-04

The claim form transmitted to the insurance carrier for reimbursement for inpatient hospital services is called the

DETAIL STATEMENT

The form that accompanies the billing claim form for inpatient hospital services is called a

HOSPITAL CONSULTATIONS, HOSPITAL AND EMERGENCY DEPARTMENT VISITS

Professional services billed by the physician include

25

How many major diagnosis categories (MDCs) are there in the DRG-based system?

SOURCE OF ADMISSION

On the UB-04 claim form, code 6 (transfer from another health care facility) in Field 15 is used to indicate

PROVIDE INFORMATION ON HOW YOU CAN BE REACHED

The main goal of a cover letter is to

CUSTOMIZED, TYPED, ADDRESSED TO A SPECIFIC PERSON

Cover letters should be

PLACE OF LAST EMPLOYMENT

In an interview, inquiries about the following are illegal except

THANK THE EMPLOYER FOR GRANTING THE INTERVIEW, KEEP THE APPLICANT'S NAME AT THE ATTENTION OF THE POTENTIAL EMPLOYER

After an interview, a follow-up letter should be written to

1 YEAR OR MORE

When an individual wishes to start his or her own medical billing service, he or she should have sufficient funds to run the business for a period of

PREADMISSION TESTING

PAT is an abbreviation for_______________________________

UTILIZATION REVIEW

The hospital department that conducts an admission and concurrent review on all cases and prepares a discharge plan to determine whether admissions are justified is called the_____________________________________

DISCHARGE SUMMARY

The_______________________ is the clinical resume for final progress note

EDI

The abbreviation of the phrase that indicates when claims are submitted electronically is_____________________________

INSTRUCTIONS

An employer may evaluate the application itself to determine whether the applicant can follow_______________________

CHRONOLOGIC RESUME

A resume that provides recent experiences first, with dates and descriptive data for each job, is __________________________

FUNCTIONAL RESUME

A resume that states the skills and individual is able to perform is______________________________________

COMBINATION RESUME

A resume that summarizes the applicant's job skills, as well as educational and employment history, is the________________________________

PROOFREAD

_____________________the resume carefully for spelling, punctuation, grammatical, and typographic errors

PHYSICAL APPEARANCE

It has been found that applicants have similar skills and education, the decision to hire has been based on__________________________ at the interview

PORTFOLIO

Letters of recommendation, school diplomas or degrees, certificates, names and addresses of references, and some neatly typed insurance claim forms are items an applicant may enclose in a/an________________________________

DISCHARGE SUMMARY

What is the document that needs to be completed and signed by the physician after a patient leaves the hospital before the hospital can receive reimbursement

COMPLICATIONS AND COMORBIDITY

What does the abbreviation CC indicate when used with DRGs?

YELLOW PAGES,LIBRARY, MEETINGS AND WORKSHOPS, CONTACT PHARMACEUTICAL REPS, JOIN PROFESSIONAL ORGANIZATION

List 5 ways to search for a job

REQUESTING AN INTERVIEW

What should a cover letter end with?

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