Office Visit with Neurologist?
Physician/Practitioner services or Specialist Office Visit
What is the main mentor we use for VOB calls?
VOB for Group Medicare
What is the C/I for Benefit Verification calls?
Benefits/Verification
Office Visit with Primary Care Physician?
PCP or Physician/Practitioner services
Cataract Surgery?
Outpatient Surgery
Which VOB Mentor can help us understand specific benefits better?
Verification of Benefits Table of Contents
What is the disclaimer you must provide on EVERY benefit call?
"This information is only an estimation of benefits. All payments are based on Medicare policy guidelines, medical necessity, and member eligibility at the time of service."
Biopsy?
Outpatient Surgery
In Home Physical Therapy?
Home Health Care
Which VOB Mentor would you use for Acupuncture?
Alternative Medicine VOB Template
If DEBUT is down, what application should you use?
HOWIE
Wheelchair?
Durable Medical Equipment (DME)
Continuous Glucose Monitor?
Durable Medical Equipment (DME)
Which VOB Mentor would you use for Diabetic Supplies?
Diabetic VOB Template
What type of benefits are you NOT trained to provide?
Behavioral Health, Bariatric, & Transgender Services.
Bloodwork?
Laboratory Services
Feeding Tube Supplements?
Part B Medications
Which VOB Mentor would you use for Cochlear Implants?
Hearing VOB Template
Where do we go for Medical Accums in CAS?
MAI Screen
Blood Glucose Monitor?
Diabetic Self-Monitoring Supplies