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Glossary 

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Copyright 2007. All rights reserved worldwide. This documentation has been provided pursuant to an agreement containing restrictions on its use. Federal copyright laws also protect this documentation. No part of this documentation may be copied, distributed, transmitted, stored in a retrieval system, or translated into any human or computer language, in any form or by any means, electronic, mechanical magnetic, documentation, or otherwise, or disclosed to third parties without the express written permission of QuixoteSoftware.NET. QuixoteSoftware.NET makes no representations or warranties with respect to the contents of this documentation and specifically disclaims any implied warranties of merchant ability or fitness for any particular purpose. Further, QuixoteSoftware.NET reserves the right to revise or change this documentation without obligation to notify any persons, organizations, or entity of such revision or change.

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# Visits Allowed
You can enter a maximum number of visits for each policy year or authorization. If you enter a number, and then exceed that number of visits, you will be notified that the allowed number of visits has been exceeded. Quixote will also let you know when there are 2 visits remaining.
Patient / Insurance Tab / Edit Policy / Number of Visits Allowed


# Visits Used
Quixote keeps track of the current # of visits used.
Patient / Insurance Tab / Edit Policy / Number of Visits Used


$ Amount Allowed
You can enter a maximum charge amount for each policy year.
Patient / Insurance Tab / Edit Policy / $ Amount Allowed


$ Amount Used
Quixote keeps track of the current $ amount used.
Patient / Insurance Tab / Edit Policy / $ Amount Allowed Used


A/R
Total amount of money owed for professional services rendered. Accounts Receivable: Bills can be aged by clinic, provider and/or case type.
Billing & Reports / A/R Report


Accounts Receivable (A/R)
Total amount of money owed for professional services rendered. Accounts Receivable: Bills can be aged by clinic, provider and/or case type.
Billing & Reports / A/R Report


Active Case
Active patient case. Patient is still being treated for this case.
Patients / Patient Tab


Active Patient
Patient is still an active patient of the clinic.
Patients / Patient Tab


Additional Diagnosis
Quixote allows more than 4 diagnoses, however, only the first four diagnoses print on the HCFA. Additional Diagnosis will not print on the HCFA.


Adjuster
A person employed by insurer or insured to determine the loss under an insurance policy. (Claims adjuster.)
Patient / Insurance Tab / Edit Policy / Adjuster


Allowed Amount
Maximum dollar value the insurance company assigns to each procedure or service on which payment is based.


Anniversary Date
The period of time ending 12 months after the Effective Date of the Subscriber's coverage and occurring every 12 months thereafter.


Appointment History
The status of all previous appointments. i.e. Completed, Missed, Rescheduled, Canceled, Missed/Canceled, Missed/Rescheduled.
Patients / Patient / Appointments Tab


Appointment Required
Identifies CPT Codes that requires an appointment. Exceptions Nutritional Supplements, Ortho. Appliances, etc. (Patient may walk in a buy supplements, not requiring an appointment.)
Admin / Fee Schedules

Arrived
Appointment status Arrived, indicates a patient with a scheduled appointment who has arrived in the clinic for treatment.
Appointments / Arrived
Provider / Arrived


Attorney
A person legally appointed by another to act as his or her agent in the transaction of business, specifically one qualified and licensed to act for plaintiffs and defendants in legal proceedings.
Admin / Attorneys


Attorney Statement
Itemized Statement usually includes charges, ICD and CPT codes, but not payments. See Itemized Statements.


Authorization
The approval given by the Plan authorizing coverage for services except in an Emergency or as otherwise stated in the Certificate of Coverage.


Authorization #
Authorization # (pre-authorization) for treatment. Quixote tracks this number automatically by start date and # of treatments authorized.
Patients / Patient / Insurance


Auto Accident
Patient involved in a motor vehicle accident.
Patient / Case Information / Condition/Billing Information Tab / Auto Accident
Checks yes in Box 10b on the HCFA / CMS form.


Being Seen
Appointment status Being Seen, indicates a patient with a scheduled appointment has arrived in the clinic and is waiting to be treated or being treated.


Bill ID
Quixote automatically assigns a Bill # when a bill is created.


Billing Provider
Billing Provider's Information prints in Box 33 HCFA/CMS form, including:
· Name
· Address
· ID numbers
Patients / Patient / Edit or New Case


Bills Tab
The Patient Bills Tab includes filtering capability for all bills associated with this patient per case, including HCFAs, Patient Statements, Itemized Statements (Super Bills) and Patient Receipts. Bills can be created, printed, submitted electronically or viewed from the Bills Tab.


CMS
Centers for Medicare and Medicaid Services. Formerly known as the Health Care Financing Administration (HCFA). CMS divides responsibilities among three divisions: the Center for Medicare Management, the Center for Beneficiary Choices, and the Center for Medicaid and State Operations.


COB
Coordination of Benefits. Two insurance carriers working together and coordinating the payment of their benefits, so that there is no duplication of benefits paid between the primary insurance carrier and the secondary insurance carrier.


 
 
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