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Stack #2
Katie Detweiler
Question | Answer |
---|---|
What is PPO(Preferred Provider Organization)? | A network of health care providers who agree to provide services to plan members at a discounted fee. |
What does the term premium mean? | A payment made to a health plan by a policyholder for coverage. |
Remittance Advice(RA)is what? | An electronic documentin a health plan that lists the amount of a benefit and explains how it was determined. |
What is a National Provider Identifier? | It's a national standard identifier for all health care providers consisting of ten numbers. |
What is electronic data interchange(EDI)? | The transfer of business transactions from one computer using communications protocols. |
A Practice Managment Program is what? | It's a software program that automates many of the administrative and financial tasks required to run a medical practice. |
What is the X12-837 Health Care Claim(837P)? | The electronic format of the claim used by physicians' offices to bill for services. |
What reports are designed to provide payesr with "clean" claims? | Audit/Edit Reports |
To purge data means to what? | To delete files of patients who are no longer seen by a provider in the practice. |
What is packing data? | The deletion of vacant slots from the database. |
What is a knowledge base? | A searchable collection of up-to-date technical information. |
What does rebuilding indexes mean? | It's a process that checks and verifies data and corrects any internal problems with the data. |