Accounts
Patient has a balance on there account. All claims are orange. Do you collect balance?
Yes, only hold if there is a red claim but still let pt know there is a small balance if you see a red but let them know we are working on it.
Payment options that let patients pay over time
Sunbit, care credit.
How do you send xrays?
Import and export them from dexis or screen shot and email to patient or allowed authorized pt/office personnel
Why is a fee schedule important?
It determines what patients fees and cost are?
When presenting tx. What is something we always tell the patients?
THIS IS AN ESTIMATE- SUBJECT TO CHANGE
Big appointments require what?
Deposits and confirmations.
Patient ask if checking there estimate will effect there credit score? What is this inquiry called, and will they it effect there credit if they check?
Soft inquiry check- does not effect credit to check the estimates. Final contract will be used as a standard credit card
Patients is 26 mom calls in to ask when patients appointment is so she can coordinate it with when her is. Is that okay? What do you do?
No, patients that are over the age of 18 have the right to not share information. You must ask patient first if that is okay before discussing such information and make sure you get a written or verbal consent from them and document that encounter.
What is the proper billing for an standard implant?
D6010-implant
D6056- abutment
D6058- implant supported crown
Where is the deposit slip located?
And how do you write one?
Nat's side, second drawer.
date, last 4 digits of check, amount matching check, add total, and initail. give to Bill.
How do you determine prices when it comes to insurance quotes and fees?
FEE SCHEULE *MOST IMPORTANT THING TO GET AT BREAKDOWNS*
Does everyone qualify for either sunbit or care credit?
No- it is all dependent on patients credit, or status.
Patient is 23, dad of pt is the main subscriber of patients insurance and wants to go over claims. Is that okay?
Yes, typically patients under 26 can still be under parents insurance so on there np pw when they put there parents as primary subscriber, allowing us to be able to discuss that information with them without violating any hippa/osha.
insurance decides if they cover or do not cover missing teeth prior to being insured.
What should you screen be on in the back office?
Before sending any documents what are you doing?
HIPPA compliant
Double checking names and accurate information/ contact info.
Patient is feeling uneasy about balances, what can you do?
Bild rapport, simplify things, let them knkow there are options!!!
Patient has an i tin for sunbit can they still qualify?
Yes, email needs to be sent to verification @sunbit.com with a picture of there full itin document and there id then call sunbit and they will let us know if they were approved or not.
Patient is upset about account balance that you do not understand. What do you do?
Let patient know that you understand there frustration and that you are noting everything down in there account but your billing specialist/managers are not in but they will contact them as soon as possible! De escalate
Whats the Birthday rule when it comes to insurance coordination?
Fire alarm goes off, what do you do?
Show me you understand an account- karla/nat pick the account and have each emp explain what they see
I want to see a proper walk out, claim submission and balance collected.
Watch what they do.
What 6 things does patient need to have in order to follow through with sunbit?
Driver license, debit card, ss#, email and phone number, deposit
SS # will be asked at closing as well
What it the difference between a fixed appliance vs a snap in or removable?
Fixed in non removable vs removable.
Are we in network with all insurances?
Do out of network benefits work here in our office?
No we are not, but we are contrcted with most PPO insurance.
Yes, you will always have to ask if OONW benefits can be sent here or if they go to patient.
Show me how to send a prescription using dose spot
- show on test