wave scheduling - Patients are scheduled at the same time each hour to create short term flexibility
each hour
modified-wave scheduling - a scheduling system similar to the wave system, with patients arriving
at planned intervals during the hour, allowing time to catch up before the next hour begins
-scheduling two patients to come at 9 am and on at 9:30 am
-scheduling patients to arrive at given intervals during the first half of the hour and none for the
second half
cluster booking - booking a number of patients who have specific needs together at the same time
of day
-a physicians only offering examinations on tuesdays and thursday mornings
double booking scheduling - two patients are scheduled to come at the same time to see the same
physician
stream scheduling - scheduling patients for specific times at regular intervals
-time allotted depends on the reason for the visit
open hours scheduling - patients are not scheduled for a specific time, but told to come in at
intermittent times
-seen in the order in which they arrive
Medicare - federally funded health insurance provided to people age 65 or older, people younger
than 65 who have certain disabilities, and people of all ages with end-stage kidney disease
-only funded by federal government
Medicaid - a government-based health insurance option that pays for medical assistance for
individuals who have low incomes and limited financial resources. Funded at the state and national
level
-administered at the state level
-funded by state and federal government
Explanation of Benefits (EOB) - a record of a patient's fees
Advance Beneficiary Notice (ABN) - tells you if Medicare may not cover a service
GERD - gastroesophageal reflux disease
-stomach condition
petty cash fund - used to make small payments
Health Maintenance Organization (HMO) - plan that allows patients to only go to physicians, other
health care professionals, or hospitals on a list of approved providers, except in an emergency
-fixed payments
Preferred Provider Organization (PPO) - plan that allows patients to use physicians, specialists, and
hospitals in the plan's network and receive a greater discount on services
coinsurance - form of cost-sharing that kicks in after the deductible is met
-percentage patient pays
Medicare Part A - cover hospitalization insurance
-"AHH I have to go to the hospital" (AHH= Part A)3
Medicare Part B - helps pay for physician's services, other medical professional's services, medical
services, medical-surgical supplies not covered by Part A
-"Oh Boy I have to go the doctor" (Boy= Part B)
Medicare Part C - Medicare Advantage (MA)
-combined package of benefits under Medicare Parts A and B that may offer extra coverage for
services
-ex:vision, hearing, dental, health, and wellness
Medicare Part D - a plan run by private insurance medical insurance companies and other vendors
approved by Medicare to cover the cost of approved prescriptions
-part D= drugs
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