Dermatology
What is Accutane?
A medication used to treat extreme Acne.
List all the Tricare plans.
Tricare Prime
Tricare Select
Tricare For Life
US Family Health Plan
How do you schedule a patient using VA insurance?
DO not schedule, transfer to local office
Which government sponsored health insurance allows dependents?
Tricare
Who pays first, Medicaid or Medicare?
Medicare pays first, and Medicaid pays second.
What is Basal Cell Carcinoma?
A type of skin cancer that begins in the basal cells.
Which Tricare plan is similar to PPO?
Tricare Select.
List two different parts of 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.
Name three events that cannot be double booked.
Cosmetic appointments
Surgery
FBE
2 new patients
How do you set Self Pay Patients in NextGen?
ADCS Self-Pay
What is LN2?
Liquid Nitrogen- it used to remove abnormal and benign skin growths, such as warts.
What is Tricare?
The Department of Defense (DOD) health insurance program that provides care to current and former military members and their dependents.
List three of the most common types of commercial health insurance.
HMO - Health Maintenance Organization
PPO - Preferred Provider Organization
EPO - Exclusive Provider Organizations
POS - Point-of-Service
PFFS - Private Fee-For-Service
How do you set government sponsored insurance in NextGen?
Under the patient.
How do you set commercial health insurance in NextGen?
You set it under the primary policy holder. If the patient is NOT the primary policy holder, meaning the patient is a dependent on a commercial insurance, attach the primary policy holder’s information as a relationship to the patient’s chart.
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.
Which number on the Tricare ID card does ADCS use to file claims?
Department of Defense Benefits Number (DBN)
What is Medicare Supplement / 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.
How do you set Straight Medicare in NextGen?
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.
What is Dual Eligibility?
When you have Medicare and full Medicaid coverage.
What is Cicatrix?
The medical term for scar.
Who is eligible for Tricare?
Current/active uniformed service members and their immediate families.
National guard/reserves, retired service members and their families
Another name for MCR advantage.
MCR Replacement.
How much does Medicaid patients pay out of pocket?
Medicaid patients never pay out of pocket.
What’s the difference between Medicare & Medicaid?
Medicare is federal health insurance for anyone age 65 or older, and some people under 65 with certain disabilities or conditions.
Medicaid is a joint federal and state program that provides health coverage for some people with limited income and resources.