If an established patient wants to make a ER follow up, who can they see?
Any provider with a ER apt, overflow providers, or they can be seen at WIC for the issue they were seen for.
Who can verify Medicare coverage?
Only the patient can verify.
SUPRISE: Next month we will receive PTAN numbers so registration is able to call and verify coverage during insurance prep!
Do patients need a active VA auth for WIC?
No, it is considered a urgent visit.
Where does SHC evacuate in case of an emergency?
The employee dirt parking lot.
This vast African desert gets its name from an Arabic word that simply translates to "desert."
What is the Sahara Desert?
What appointments can a patient make WITHOUT being established with HRRMC/SHC.
DOT PE, ER f/u, Work comp.
Name 4 insurance plans you can verify through Availity.
Anthem, Devoted, Humana, Tricare.
How do you look up patient orders?
Outstanding orders icon on tool bar. (5th from left)
How many silent panic alarms are at the front desk?
This animated TV dad holds the record for most beer consumed at "Moe's Tavern."
Who is Homer Simpson?
A patient comes in wanting to be seen for Work Comp. Patient states they have none of the information required. What do you do?
BONUS POINTS : what information is required for work comp?
If patient can not provide the information they will be marked as self pay until information can be provided and give PFS contact info.
BONUS (100): DOI, type of injury, Employer, Work Comp co. Adjuster name/number, claim number.
What does the yellow insurance banner in Aprima mean and how do you fix it?
The yellow banner is a system notification that there is an error within the payer or subscriber.
To fix this you must open eligibility notes and review the errors and update accordingly.
Where do you look to verify if there is a active VA case in a patients chart?
The patient cases tab, The case will say " VA PCP - VA657865954 1/25/25-1/25/2026" OR there will be a remark pop up that will have the same information as above.
What providers work out of the gold and blue pod?
Gold: JGW, JNA, DDL, KLG
Blue: SAS, JEM, BAB, WIC
A rich, buttery, crumbly cookie is known by this word, which also describes a very quick piece of golf play.
What is Shortbread?
Is a Startpoint Exam considered a physical or just an appointment?
Bonus: Who can perform the Starpoint exam?
A Starpoint exam is separate from any AWE but is still considered a physical. If patient would like to have both apts the same day the Starpoint visit will be Self Pay.
BONUS (100) : Must be scheduled with PCP.
A patient calls stating their insurance told them they were out of network with Dr. Lombardo. What do you tell them?
Advise them of our " umbrella " and that one provider in network all will be. Provide our tax ID number for the patient to give to their insurance to confirm coverage. Then create a task in the patients chart for the encounter and assign the task to Victoria.
How long is a VA auth good for?
Bonus: when is the actual date start?
The time frame listed on the auth.
Date of the first appt OR date on VA auth.
Recently our desk phones were removed. How do we call an emergency code for the clinic?
There is one desk phone on the back counter, that phone will call to the intercom system.
BONUS POINTS (100) : What number do you dial to reach the intercom system?
If you walk into a dark room with only one match, a candle, an oil lamp, and a heater, this is what you must light first.
What is the match?
When can a patient have a Annual Wellness/ WCC?
AWE/CPE/CPX/MAWE - Year and a day after last Wellness
WCC - Year and a day after last AWE OR the day after they have turned that age. ex. 4mth WCC
A new workflow has been implemented for adding insurance payers that are not currently available in APRIMA. What is the process?
How long are patient orders good for?
BONUS: How long is a patient considered established for without being seen.
Orders are good for one year.
BONUS: A patient needs to be seen every 3 years to be considered established.
Your badge has code colors on it. What colors/codes do we need to know for SHC?
Codes, gray, red, black, clinics medical emergency.
BONUS: Without looking at your badge! What do the colors stand for?
What does a sweet potato wear to bed?
Yammies