Understanding the Patient and Billing Process in Healthcare

Chapter 5: The patient and the billing process Study online at https://quizlet.com/_cdgdut Creating a good patient staff relationship begins when the patient:Telephones for an appointment The healthcare staff can find out what their parents' expectations are by: Asking questions The services offered by a medical facility usually cannot be felt or seen, which means they: Are intangible Most physicians prefer to leave the subject of fees up to their:Reception Today's healthcare consumers use the Internet for all of these except: Direct patient-physician consultations Data that are explicitly linked to a particular individuals ( including data items that reasonably could be expected to allow individual identification) are referred to as: Protected health information; Individually identifiable health infor- mation An arrangement by which a patient requests that his or her health insurance benefit payments be made directly to a physician orhospital is called a(n): Assignment of benefits Although healthcare practitioners are dedicated to the health and well-being of their patients, for most, their ultimate goal is: Making a profit The total amount of fees collected divided by the total amount charged provides the practice with a(n): Collection ratio A patient's name, age, address, telephone number, Social Secu- rity number, and employer information are generally referred toas: Demographics When a medial facility uses patient billing software it is crucial to:Input data correctly Most medical offices send out statements periodically, which is referred to as a: Billing cycle Patients who have inadequate health insurance coverage or no insurance at all are called: Self-pay patients When no insurance is listed on a patient information form, the health insurance professional should: Inquire as to why no insurance is listed An installment payment plan of more than four payments falls under: The Federal Truth in Lending Act of 1968, Regulation Z The act deals primarily with credit reports issued by credit report- ing agencies is called the: Fair Credit Reporting Act An organization that obtains or arranges of money owed to a third party is referred to as a: Collection agency The process available to individuals or business to recover legiti- mate debs through the court system without using expensive legaladvisors is known as: Small claims litigation In a small claims suit, the party initiating the action is referred to as the: Plaintiff The party being sued is the:Defendant Is it important to know that a patient's written authorization is not required if the patient's information is used for: TPO Which of these is not considered a patient "identifier" ?Diagnosis Which of these entities has made "minor" changes in the paper CMS-1500 claim form? NUCC Which of these is not typically used for accurate business ac- counting practices? Insurance claim aging report Most healthcare offices report that collection calls are most suc- cessful between: 5PM and 7PM Patient expectations are the same from office to office.False True