Patient Access Jeopardy!!! Answers and Questions Click here to begin playing.

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Presentation transcript:

Patient Access Jeopardy!!! Answers and Questions Click here to begin playing

Level Admitting & Registration InsuranceComplianceMedical Terminology AcronymsPotpourri 1 ?????? 2 ?????? 3 ?????? 4 ?????? 5 ?????? Click here to end the game

Guarantor Click here to display the question

Who is the person that is ultimately responsible for paying the patient’s bill? Click here to end the game Click here to return to the topics

$1068 Click here to display the answer

What is the Medicare Part A deductible? Click here to end the game Click here to return to the topics

$135 Click here to display the question

What is the Medicare Part B deductible? Click here to end the game Click here to return to the topics

All Medicare beneficiaries admitted as in patients. Click here to display the answer

Who receives the Important Message from Medicare? Click here to end the game Click here to return to the topics

Consent given in writing or verbally by patient or guardian. Click here to display the question

What is Actual or Explicitly Expressed Consent? Click here to end the game Click here to return to the topics

A fixed sum that a beneficiary must contribute towards the cost of their health care before insurance benefits begin. Click here to display the question

What is a Deductible? Click here to end the game Click here to return to the topics

The individual who carries the insurance coverage. Click here to display the question

Who is the subscriber? Click here to end the game Click here to return to the topics

A fixed amount the beneficiary pays for health care services, regardless of the actual charge; the amount is designated as the patient’s responsibility. Click here to display the answer

What is a co-pay? Click here to end the game Click here to return to the topics

Approval from third party payors to provide specified care in a particular setting; written or electronic assurance that the services provided will be covered under the terms of the patient’s health care plan. Click here to display the question

What is Payor Authorization? Click here to end the game Click here to return to the topics

Validating with third party payors that a given plan is active and ascertaining the patient’s deductible, co-pay and limitations. Click here to display the question

What is Verification of Benefits? Click here to end the game Click here to return to the topics

To inform the patient that Medicare may not consider the health services being provided as medically necessary and that there is a good possibility that Medicare will not pay for the service provided and the patient may be billed for the service. Click here to display the question

What is the purpose of the Advance Beneficiary Notice? Click here to end the game Click here to return to the topics

Fraud and abuse, billing practices, Antitrust, quality of care, managed care, bribes and improper payments, conflicts of interest, environmental concerns, and copyright and software licensing. Click here to display the question

What are compliance issues? Click here to end the game Click here to return to the topics

Corporate Integrity Click here to display the answer

What is the act of complying with a request, demand or regulation? Click here to end the game Click here to return to the topics

Fraud committed or attempted using identifying information of another person without authority. Click here to display the question

What is identity theft? Click here to end the game Click here to return to the topics

The obligation of an employee to let management know of suspected violations in organizational policies, or federal or state laws. Click here to display the answer

What is the duty to report wrong doing? Click here to end the game Click here to return to the topics

A non-invasive test that is used to reflect underlying heart conditions by measuring the electrical activity of the heart. Click here to display the question

Electrocardiogram Click here to end the game Click here to return to the topics

An x-ray of the breast in a device that compresses and flattens it. Click here to display the question

What is a mammogram? Click here to end the game Click here to return to the topics

A blood draw. Click here to display the answer

What is venipuncture? Click here to end the game Click here to return to the topics

Partial or complete loss of consciousness. Click here to display the answer

What is syncope? Click here to end the game Click here to return to the topics

High, excessive, beyond normal. Click here to display the question

What is hyper? Click here to end the game Click here to return to the topics

ABN Click here to display the question

What is the Advance Beneficiary Notice? Click here to end the game Click here to return to the topics

IMM Click here to display the question

What is the Important Message from Medicare? Click here to end the game Click here to return to the topics

JCAHCO Click here to display the answer

What is the Joint Commission on Accreditation of Health Care Organizations? Click here to end the game Click here to return to the topics

Click here to display the question The physician who supervises a patient’s care during an inpatient stay.

Who is the Attending Physician? Click here to end the game Click here to return to the topics

EMTALA Click here to display the question

What is the Emergency Medical Treatment and Active Labor Act? Click here to end the game Click here to return to the topics

HIPAA Click here to display the answer

What is the Health Insurance Portability and Accountability Act? Click here to end the game Click here to return to the topics

Written authorization from policy holder for their insurance company to pay benefits directly to the care provider. Click here to display the question

What is Assignment? Click here to end the game Click here to return to the topics

A physician who specializes in the diagnosis and treatment of cancer. Click here to display the answer

Who is an Oncologist? Click here to end the game Click here to return to the topics

Treatment received by a patient in a hospital or clinic. The patient does not require hospitalization. Click here to display the question

What is Out Patient Care? Click here to end the game Click here to return to the topics

The dollar amount that an insured is legally obligated to pay for services by a provider. Click here to display the question

What is Patient Liability? Click here to end the game Click here to return to the topics

Thank You for Playing! Click here to return to the game Click here to end the show