Across
- 2. This form records details about the provider, patient, and insurance, capturing diagnosis and treatment descriptions, codes, modifiers, quantities, and costs during the encounter stage.
- 4. A document signed by the patient that gives permission for their health information to be shared with other entities, often used for billing or legal purposes.
- 8. In Revenue Cycle Management (RCM), this stage involves recording the conversation between the patient and provider, filling out a superbill, and designing a treatment plan based on the patient’s health condition.
- 10. This RCM stage, which involves booking and confirming the patient's visit with the healthcare provider, cannot be outsourced to third-party vendors because it requires direct interaction with the patient.
- 11. A legal document in which one party promises to pay a specific amount of money to another party under agreed-upon terms.
- 12. Form filled by the patient and collected during patient registration that includes demographic details and medical history for the healthcare provider's records.
- 15. A DRIVER'S LICENSE or _______ collected during patient registration and used to confirm identity and address, often issued by the government.
- 17. This RCM stage involves collecting and recording the patient’s demographic and insurance information before services are provided. It cannot be outsourced because it demands accurate, real-time data entry and direct communication with the patient.
- 19. A system used to determine the order in which multiple insurance policies will pay out claims, ensuring that benefits are properly coordinated.
- 21. A notice given to Medicare patients to inform them that a service may not be covered, and they may be responsible for payment.
- 22. During the encounter stage, the entire _________ between the patient and healthcare provider can be recorded using these technologies, including digital recorders, speech recognition software, or direct input into EHR systems.
Down
- 1. A document in which a patient acknowledges that they understand a particular service may not be covered by insurance and agrees not to hold the provider or insurance responsible for the costs.
- 3. A unique number assigned to a patient's account used to track billing and medical records within a healthcare system.
- 5. Unique number assigned to your insurance policy, used for identifying coverage. Issued by the insurance company at the time of policy issuance.
- 6. An ID collected during patient registration and an alternative to a driver's license for verifying identity, often used for international travel.
- 7. This RCM stage ensures that the patient's insurance coverage is verified before services are provided. It cannot be outsourced to external agencies as it requires real-time validation and direct communication with the patient or insurance company.
- 9. When scheduling an appointment, the receptionist asks for the patient's name, date of birth, gender, address, contact information, insurance details, Social Security Number, and preferred language. What type of information is being collected?
- 13. Unique identifier for a health insurance plan that covers a group, often provided by an employer or organization. Issued by the insurance company at enrollment.
- 14. A document signed by the patient, authorizing the healthcare provider to receive payments directly from the insurance company for the services provided.
- 16. This RCM stage records the patient's visit with their healthcare provider. It can't be outsourced because it requires secure handling of sensitive information, and patients prefer services from their chosen provider, not from an unselected third party.
- 18. True or False: Another term for Policy ID Number, commonly known as Member ID Number or Subscriber ID Number.
- 20. This card, collected during patient registration, contains the patient’s policy number and details of the insurance company such as name, address, phone number, website, and fax number.