Click here to begin playing JEOPARDY!

Transcription

1 begin playing JEOPARDY!

2 1. Each table makes up a team. Game Rules 2. A score keeper will be chosen, to write and total each teams earned points on the board. 3. The host or trainer will read each answer aloud to all participants. 4. Raise your hand to be eligible to respond. (Unsolicited responses will not be recognized and will not earn points) 5. Please try to form all responses in question form... What is?. Who is?. etc. 6. You have 15 seconds to respond once recognized; you may consult other team members as only one response per table, per answer will be heard. 7. Correct answers you win the allotted points, incorrect answers you loose the allotted points. 8. The team member who gave the correct response will choose the next category and amount. 9. If no one responds within 15 seconds, the last person with a correct response will choose another category and amount. 10. For Final Jeopardy, each team will decide on an amount of their earned points to wager on the Final Jeopardy Answer. 11. The team with the highest total points will be declared the winning team. 12. What questions do you have before we begin?

3 JEOPARDY! Patient Access/Front Office Billing Credit & Collections Revenue Cycle Management Compliance Federal Agencies and Regulations end the game FINAL JEOPARDY

4 An Estimate, using average current revenues of the days required to turn over the accounts receivable under normal operating conditions. display the question

5 What is Accounts Receivable (AR) Days Outstanding? end the game return to the board

6 Total Number of Patient Days divided by Number of Discharges display the question

7 What is Average Length of Stay (ALOS)? end the game return to the board

8 This questionnaire is required for every patient (excluding recurring) on every visit display the question

9 What is the Medicare Secondary Payer Questionnaire? end the game return to the board

10 You are under 65, disabled have Medicare and Large Group Health (Employer has 100 employees) who is primary? display the question

11 Who is Large Group Health? end the game return to the board

12 A minor in the Military, Married, has a court Decree or is pregnant or a parent. display the question

13 What is Emancipated? end the game return to the board

14 Which type of insurance/ payer is also called Medicare Advantage, replaces traditional fee for service Medicare, and often offers better benefits such as vision, dental, or more preventative services? display the question

15 What is Medicare Part C? end the game return to the board

16 This applies to most outpatient services, partial hospitalization services in community mental health centers and Part B covered inpatient services if Part A is exhausted. Each services has a weighted value that bundles payments for associated services like supplies and most drugs. display the question

17 What is Ambulatory Payment Classification (APC)? end the game return to the board

18 This is divided into two levels; Level I consists of CPT-4 codes and Level II is used primarily to identify products, supplies, and services not included in the CPT codes. display the question

19 What is HCPCS? end the game return to the board

20 This type of insurance/payer is intended to ensure that the vulnerable have access to medical care and is also known as Title XIX. display the question

21 What is Medicaid? end the game return to the board

22 All Medicare providers must file claims electronically as HIPAA standardized transactions with very limited exceptions. The code for Healthcare eligibility inquiry is display the question

23 What is 270? end the game return to the board

24 The patient is allowed to leave the hospital without going thru the usual discharge formalities and is billed later. display the question

25 What is a Courtesy Discharge? end the game return to the board

26 When address or telephone information in an account turns out to be incorrect, efforts to locate the correct information is known as. This practice can be performed by in-house or collection agency. display the question

27 What is Skip Tracing? end the game return to the board

28 A legally verified claim against a debtor validated by the court; a legal right to collect a debt that can be used to obtain a lien. display the question

29 What is A Judgement? end the game return to the board

30 Upon receipt of written notification of this a creditor must flag the patients account, suspend all collection activity, pending final disposition and notice from courts, cease all contact with patient demanding payment in full, Notify any third party collection agencies about the action and send copy of the document. display the question

31 What is Written notification of Bankruptcy? end the game return to the board

32 The percentage of total cost to the total dollar amount received is. Total Cost to Collect/Total Received = display the question

33 What is Cost to Collect? end the game return to the board

34 Accounts with negative balances are known as display the question

35 What are Credit Balances? end the game return to the board

36 It requires employers to make reasonable adjustments to the work site to accommodate a disabled employee's ability to perform the job as outlined in the job description. display the question

37 What is Americans with Disabilities Act (ADA)? end the game return to the board

38 Total AR/Average Daily Revenue = display the question

39 What is Gross AR Days? end the game return to the board

40 Total Daily Revenue-Total Charity-Bad Debt-Total Contractual Allowances= display the question

41 What is Total Net Daily Revenue? end the game return to the board

42 Cash on Hand/[(Total Operating Expenses-Depreciation)/365)]= display the question

43 What is Days Cash on Hand? end the game return to the board

44 Since January 1, 2008, requires many businesses and organizations to implement a written Program designed to detect the warning signs of identity theft in their day-to-day operations, take steps to prevent the crime, and mitigate the damage it inflicts. This Rule is enforced by the Federal Trade Commission (FTC). display the question

45 What is Red Flags Rule? end the game return to the board

46 These are elements of? 1.) Written policies and procedures. 2.) Designated Compliance Officer and compliance committee. 3.) Effective training and education. 4.) Effective lines of communication. 5.) Enforced standards and well publicized disciplinary procedures. 6.) Auditing and monitoring. 7.) Responding to offenses and developing corrective action plans. display the question

47 What is a Compliance Plan? end the game return to the board

48 This rule created national standards for the safe and accurate exchange of patient information. display the question

49 What is HIPPA Privacy Rule? end the game return to the board

50 This Acts primary objective of protecting insurance subscribers from loss of coverage due to job changes, but with other far reaching consequences for healthcare. display the question

51 What is Health Insurance Portability and Accountability Act (HIPAA)? end the game return to the board

52 The term describes a deception or misrepresentation that an individual knows to be false or does not believe to be true and knows that the deception could result in some unauthorized benefit to them or some other person. display the question

53 What is Fraud? end the game return to the board

54 Under HIPAA individually Identifiable patient information is display the question

55 What is Private Health Information (PHI)? end the game return to the board

56 PHI cannot be shared with law enforcement agencies without this except under court order. display the question

57 What is Consent? end the game return to the board

58 What Act restricts Telephone solicitation, the use of automated telephone equipment and prohibits contact with a debtor on a cell phone using automated dialing equipment with out the expressed consent and limits the use of artificial or prerecorded voice messages, SMS, and fax machines. display the question

59 What is Telephone Consumer Protection Act (TCPA)? end the game return to the board

60 This Statute/Act prohibits offering free or discounted services to a physician associated with, or who refers patients to, another healthcare facility. display the question

61 What is the Anti-Kickback Statute or False Claim Act? end the game return to the board

62 The only time you can share PHI with out explicit consent. display the question

63 What is Treatment, Payment and Operations (TPO)? end the game return to the board

64 FINAL JEOPARDY

65 This provision allows any person having knowledge of a false claim against the Government to bring an action against the suspected wrongdoer on the behalf of the United States Government. display the question

66 What is Qui Tam or Whistle Blower? end the game

67 Thank You for Playing! end the game return to the game