Module 11

Patient Appointments:

Practice Management System (PMS)

• A tool that allows for a submission of the coded visit to the insurance company by participating providers for reimbursement decisions by third-party payers while the patient is present.

• Software used to electronically manage administrative functions, such as scheduling appointments, integrating patient documentation from electronic health records, coding, billing, and revenue cycle tasks such as running aging reports and managing the accounts receivable.

• A federal agency that oversees the Medicare program and assists states with Medicaid programs.

Patient Appointments:

Centers for Medicare and Medicaid Services (CMS)

• A federal agency that oversees the Medicare program and assists states with Medicaid programs.

• A tool that allows for a submission of the coded visit to the insurance company by participating providers for reimbursement decisions by third-party payers while the patient is present.

• Software used to electronically manage administrative functions, such as scheduling appointments, integrating patient documentation from electronic health records, coding, billing, and revenue cycle tasks such as running aging reports and managing the accounts receivable.

Practice Appointments:

What does RTA stand for?

• Adjudication real time

• Time real adjudication

• Real-time adjudication

Patient Appointments:

Medical assistant (MA) responsibilities encompass many interactions with

• appointments

• patients

• assisting

• scheduling

Patient Appointments:

Effectively and accurately maintaining the schedule will positively contribute to the workflow and success of the...

• provider satisfaction

• organization

• resulting in staff

• patient

1. Identify and Check Patients In and Out:

2. Deductible means...

• The amount that must be paid before benefits are paid by the insurance company.

• Information that includes follow-up appointments, provider orders, instructions, educational resources, and financial account information.

• Document that identifies how the provider will distribute and disclose a patient’s protected health information.

1. Identify and Check Patients In and Out:

2. Coinsurance means...

• The amount that must be paid before benefits are paid by the insurance company.

• Information that includes follow-up appointments, provider orders, instructions, educational resources, and financial account information.

• The percentage of the allowed amount the patient will pay once the deductible is met.

1. Identify and Check Patients In and Out:

2. After-Visit Summary means...

• The percentage of the allowed amount the patient will pay once the deductible is met.

• Information that includes follow-up appointments, provider orders, instructions, educational resources, and financial account information.

• The amount that must be paid before benefits are paid by the insurance company.

• Document that identifies how the provider will distribute and disclose a patient’s protected health information.

1. Identify and Check Patients In and Out:

2. When verifying the patient insurance eligibility...

• the MA will also determine any copayments or patient financial responsibilities to be collected before medical services are rendered

• The MA will ask the patient to verify their patient demographics and ask if anything has changed so information can be updated if needed.

• The MA will verify the patient’s identity, eligibility, and insurance information

1. Identify and Check Patients In and Out:

2. What is the abbreviation for Notice of Privacy Practices?

• PNN

• NPP

• PNP

• PPN