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34 terms

week 9

STUDY
PLAY
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?