ADCS-1
How do you schedule a patient using VA insurance?
DO not schedule, transfer to local office
What is Accutane?
A medication used to treat extreme Acne.
List the states that Medicaid is non-par in.
Florida, South Carolina, Colorado
List all the Tricare plans.
Tricare Prime
Tricare Select
Tricare For Life
US Family Health Plan
List the insurances that are NON-PAR in Florida.
Straight Florida Medicaid
BCBS Blue Select
Cigna Local Plus
Florida Healthcare Plans
List two parts of Original Medicare and BRIEFLY explain each part.
Part A- cover inpatient care in hospitals, skilled nursing facility care, hospice care, and home health care.
Part B- covers outpatient care from doctors and other health care providers, home health care, Durable medical equipment (like wheelchairs, walkers) preventive services like screenings or vaccines
Part D- Drug coverage, helps cover cost of prescription drugs.
Part C- A bundle of A & B offered through a private company.
Can Medigap be a secondary insurance to MCR ADV? Explain your answer.
No, you are only eligible for Medigap if you have STR8 MCR as your primary insurance.
Name the events that cannot be double booked.
Cosmetic appointments
Surgery
FBE
2 new patients
Which Tricare plan is similar to PPO?
Tricare Select.
How do you set Self Pay Patients in NextGen?
ADCS Self-Pay
List three commercial health insurance networks and BRIEFLY explain one.
HMO - Health Maintenance Organization
PPO - Preferred Provider Organization
EPO - Exclusive Provider Organizations
POS - Point-of-Service
PFFS - Private Fee-For-Service
What is LN2?
Liquid Nitrogen- it used to remove abnormal and benign skin growths, such as warts.
List the things to check for before offering an appointment to a patient.
Check the provider for age restrictions.
Check if the provider takes the insurance at the location where the patient is being seen.
Check if the provider does the event.
Is the slot correct?
Is there enough time for the event.
What is Tricare?
The Department of Defense (DOD) health insurance program that provides care to current and former military members and their dependents.
What course of action do you take if a BCBS alpha prefix is not found?
Use all other prefixes
What is Medicare Supplemental / Medigap?
This is an extra insurance coverage you can buy from a private company that helps pay your share of costs in Original / Straight Medicare.
What is MOHS Surgery?
Surgical procedure used to treat skin cancer, layers of cancer tissue are removed and examined under a microscope one at a time until all cancer tissue has been removed.
How do you set Straight Medicare in NextGen? Give example.
This is set based on the location where the patient is being seen. Example: If the patient is being seen in Florida, you would set it as Medicare Florida.
Which number on the Tricare ID card does ADCS use to file claims?
Department of Defense Benefits Number (DBN) 11 Digit number on the back of the card.
What is Dual Eligibility?
When you have Medicare and full Medicaid coverage.
List all the MAIN events that we should use when scheduling appointments.
EST PT
NPT
FBE
What is Atopic Dermatitis?
Also called Eczema, it is a condition that causes dry, itchy and inflamed skin.
How much does an Est Medicaid patient pay for consultation.
Medicaid patients never pay out of pocket.
Who is eligible for Tricare?
Current/active uniformed service members and their immediate families.
National guard/reserves, retired service members and their families
Explain the process for scheduling hearing-impaired patients.
These appointments must be scheduled 2 weeks and an email sent to the office with the appointment details also stating "Hearing-Impaired Patient"