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21 terms

Medical Office Assistant/Final Exam Part 2

Handout on 2/22/2010. Fill in the blanks
STUDY
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____________is a legal form signed by the patient, that allows for the forwarding of confidential patient information to be released to another provider or carrier
release of information
person who has legal responsibility for a minor child or incompetent adult is known as a ______________________-
guardian (legal guardian)
_____________covers all outpatient care and health care provider services
medicare part b
_____________________are physical or mental conditions that existed prior to the effective date of an insurance policy
pre-existing condition
_______________is unauthorized release of confidential patient information to a third party
breach of confidentiality
the most important entry on the patient registration form is the _____________. without it, no information can be used by the practice even for billing purposes
patient signature
__________represent factors influencing health status or reasons for contacting the health care facility
v codes
the highest amount that the insurance company will pay for medical claims during a specific time period:______________ this amount is set either on a yearly basis of for the lifetime of the policy
maximum benefits
__________________-is the condition considered to be the major health condition/status for the patient for this date of service. SUBMITTED CLAIM
primary diagnosis
______________is an alphanumeric coding system designed by the health care financing administration as a supplement to the CPT codes
HCPCS
________________means physical disorders present at the same time as the primary diagnosis that alters the course of treatment required
concurrent condition
__________any 12-month period used by business for its' annual financial accounting cycle
fiscal year
___________________is a centrally administered program of coordinated inpatient and outpatient services to serve terminally ill patients and their families
hospice
________________-benefits cover inpatient admission to the hospital, skilled nursing facility service, hospital care, and blood transfusions
medicare part a
________________-is a policy designed to cover services for chronic medical problems or catastrophic out-of-pocket medical expenses
major medical
________________is a demand form payment of covered medical expenses sent to an insurance carrier
claim
____________________are codes that represent external causes of injury and poisoning. thay are not primary diagnosis codes
E codes
______________________is the average fee charged by comparable doctors in the same geographical area
customary fee
___________________-s deliberate misrepresentation of facts
fraud
_____________________can be written or verbal. it is best to have this consent in writing, and the original is kept in the patient's medical record because it is a legal document
expressed consent
__________________is obtained by the provider to cover financial liability when the doctor is sued. it does not protect the doctor from being sued
malpractice insurance