Collection/Money
The term for the amount you pay for covered healthcare services before your insurance plan starts to pay
Deductible
What is our new insurance verification software?
Promptly
How many days ahead should Chart Prep be completed
2 days
Can a visit be billed through both medical and routine insurance at the same time?
No, a visit must either be billed through medical or routine insurance. If a patient has a medical diagnosis, they are allowed to request to come back to do their Refraction or CTL Fit at a separate appointment.
A fixed fee you pay for a doctor's visit.
Specialist Copay
List the following insurances in typical order. Medicaid, Medicare, Anthem Supplement
Medicare, Anthem Supplement, Medicaid
Where/How do you mark that the patient has a copay?
Write the copay on the bottom of the encounter and highlight it.
Daily Double!!! How do you request assistance from the Support Team?
Contact your Manager or Director of OPS, first. They can put in a ticket in on your behalf.
When should Medicare deductibles be collected?
At Check in or Check out or at time of service
If a patient presents you with Anthem Blue (D-SNP), Medicare (Red, White, and Blue) and Medicaid, how would you enter these into Compulink?
Enter Primary: Primary- Anthem Blue (D-SNP), Secondary-Medicaid (with 0%), do not enter the Medicare (Red, White, and Blue)
Co- insurance percentage for Medicare (red, white and blue cards) patients.
What is 20%?
My patient's consent forms and health questionnaires should be scanned when they're a _______ and/or once every _____ since the last updated scan.
What is new patient or once a year?
What is the Medicare deductible amount for 2024?
$240
Daily Double!!! What name is Optima Medicare and Virginia Premier being rebranded as
Sentara Medicare
Daily Double!!! Where do you enter a VSP Authorization
Enter VSP Auth in the referral box under referral sources. You also need to enter the MAX USAGE and EXPIRATION DATE
A patient's appointment was at 10:00 AM and it's now 10:30 AM, they haven't shown up. Next steps should be?
What is, mark them no show and call the patient ASAP?
BONUS: If the patient shows up at 10:31 AM what should the next steps be?
Per AVP policy, do we bill medical insurances for refractions as a base line policy?
No, all patients should pay their refraction cost day of the appointment when medical insurance is billed.
BONUS: what two instances would be exceptions to this rule?
Patient Checks in and presents Medicare (Red, White and Blue) and Humana Medicare Advantage Plan. Which plan would you enter as the primary insurance in Compulink
Humana Medicare Advantage Plan
BONUS: Would you post the Medicare (Red, White, and Blue) as secondary.
No- Humana Medicare is a replacement plan.
The amount of time you're allowed to void a patient's payment in Transaction Express before an official refund needs to be issued.
What is same day (DOS)?
How should I contact DAS, if I need IT Support
Submit a ticket by either calling or emailing DAS Help Desk