Glossary
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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 |
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# Visits Used |
Quixote keeps track of the current # of visits used.
Patient / Insurance Tab / Edit Policy / Number of Visits Used |
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$ Amount Allowed |
You can enter a maximum charge amount for each policy year.
Patient / Insurance Tab / Edit Policy / $ Amount Allowed |
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$ Amount Used |
Quixote keeps track of the current $ amount used.
Patient / Insurance Tab / Edit Policy / $ Amount Allowed Used |
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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 |
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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 |
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Active Case |
Active patient case. Patient is still being treated for this case.
Patients / Patient Tab |
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Active Patient |
Patient is still an active patient of the clinic.
Patients / Patient Tab |
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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. |
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Adjuster |
A person employed by insurer or insured to determine the loss under an insurance policy. (Claims adjuster.)
Patient / Insurance Tab / Edit Policy / Adjuster |
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Allowed Amount |
Maximum dollar value the insurance company assigns to each procedure or service on which payment is based. |
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Anniversary Date |
The period of time ending 12 months after the Effective Date of the Subscriber's coverage and occurring every 12 months thereafter. |
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Appointment History |
The status of all previous appointments. i.e. Completed, Missed, Rescheduled, Canceled, Missed/Canceled, Missed/Rescheduled.
Patients / Patient / Appointments Tab |
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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 |
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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 |
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Attorney Statement |
Itemized Statement usually includes charges, ICD and CPT codes, but not payments. See Itemized Statements. |
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Authorization |
The approval given by the Plan authorizing coverage for services except in an Emergency or as otherwise stated in the Certificate of Coverage. |
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Authorization # |
Authorization # (pre-authorization) for treatment. Quixote tracks this number automatically by start date and # of treatments authorized.
Patients / Patient / Insurance |
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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. |
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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. |
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Bill ID |
Quixote automatically assigns a Bill # when a bill is created. |
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Billing Provider |
Billing Provider's Information prints in Box 33 HCFA/CMS form, including:
· Name
· Address
· ID numbers
Patients / Patient / Edit or New Case |
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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. |
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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. |
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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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