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HCS 224 Week 3 Office Procedures Worksheet
Resource: Office Procedures Worksheet
Complete Parts A and B of the Office Procedures Worksheet.
Click the Assignment Files tab to submit your assignment.
Part A: Match the appropriate term to its definition.
1. | _____ Notice of Privacy Practices | A. | When a physician decides that a patient needs to see a specialist. |
2. | _____ Personal Demographics
| B. | Medical charts on patients who have died, moved, or discharged from the practice. |
3. | _____ Referral
| C. | Medical files for patients currently receiving treatment. |
4. | _____ Assignment of Benefits
| D. | Patient’s permission. |
5. | _____ Consent
| E. | Form that asks patients to list any illnesses or surgeries they have had and family history of illnesses. |
6. | _____ Urgent Referral
| F. | A document that describes items purchased or services rendered and shows the amount due. |
7 | _____ Active Files
| G. | Check voice mail, answering service, and patient portal for messages. |
8. | _____ Purging
| H. | This information includes basic facts about a patient’s name, address, and phone number. |
9. | _____ Closed Files
| I. | The time during which benefits are payable under a given insurance plan. |
10. | _____ Implied Consent
| J. | Document informing a patient of when and how their PHI can be used. |
11. | _____ Health History Form
| K. | Document that describes the kind of treatment a patient wants in the event that they cannot speak for themselves. |
12. | _____ Living Will
| L. | A patient presents for treatment, such as extending arm to have blood pressure taken. |
13. | _____ Informed Consent
| M. | Must be explained by a provider prior to having a medical procedure to ensure the patient understands all of the risks. |
14. | _____ Verify Eligibility
| N. | Not life threatening, but the situation requires care from a specialist quickly. |
15. | _____ Copayment
| O. | Form provided to a patient if the provider believes the service will not be covered by Medicare. |
16. | _____ Opening Procedure
| P. | Formal approval from the insurance company that it will cover the test or procedure. |
17. | _____ ABN | Q. | Authorizes health insurance benefits to be sent directly to providers. |
18. | _____ Benefit Period | R. | Process of moving a file from active to inactive status. |
19. | _____ Invoice | S. | A fixed fee for a service. |
20. | _____ Preauthorization | T. | When insurance is checked to determine benefits and active status. |
Part B: Write a 90- to 175-word response to each of the following prompts. Format your answers according to APA guidelines and cite any sources accordingly.
Explain the use of a CPT code.
Explain the use of the ICD-10-CM system in the billing process.
Explain the difference between copay and coinsurance.
List and explain the four mail classes.
What is the difference between an advanced directive and a living will?