SCHEDULING
How many White spaces do you need to schedule an Evaluation?
2
This type of insurance plan runs on a 12 month period but begins in the middle of the year (i.e. 6/1/2024 - 5/31/2025).
What is a contract year plan?
Where would you find a patient's address?
What is Patient Demographic?
This function key opens up the "Knowledge Base"
What is F1
After obtaining the patient's insurance member ID and group ID, what phone number must we ask for so that our verification team can contact the right department to verify the benefits?
What is Provider services number?
What are the four Spear online booking platforms?
What are ZocDoc, Spear Website, One Medical & Lab Finder?
The percentage of the cost of a visit that a patient is responsible for paying after the insurance coverage (i.e. insurance coverage 80%, patient responsibility 20%).
What is a co-insurance?
Where in the patient's chart can you locate all active prescriptions?
What is therapy tracking?
This function key is used to quickly lock a workstation, log out or select another database
What is F4
What 3 documents must we remind patients to bring in on the date of their evaluation?
ID , Insurance Card, Referral
What document do we need to schedule a workers comp patient, that requires Authorization?
What is a PAR ( Prior Authorization Request )?
The minimum dollar amount a policy holder must spend towards their healthcare for the year before the insurance coverage kicks in.
What is a deductible?
Where can you find/add a patient's credit card on file?
What is patient wallet?
This function key lets you save
What is F10
Where can new patients complete their intake forms online?
Spears Online Raintree Patient Portal
In what two scenarios can you schedule an initial evaluation with one white space on the schedule?
What is before lunch or end of day
When a patient is scheduled for a Splint we will need to verify if they have _____ benefits, to do so we will use the L code on the patients referral.
What is Durable Medical Equipment , DME.
Which main menu option is used to locate incoming/outgoing faxes?
What is Front Office Tools/Reports?
This function key allows you to switch tabs in Raintree
What is F2
Who would you task when there is an error with a patient's verification?
What is *IKS
What form needs to be completed for Spear to release Private Health Information to an entity/person requesting it?
What is HIPPA form or Consent to Release Information form?
This type of referral is required for patients who have HMO plans. Their doctor acts as a gateway to the rest of their healthcare and must write a referral for the patient to see a specialist, like a Physical or Occupational Therapist.
What is a Primary Care Physician (PCP) Referral?
What two EOD (End of Day) functions do care coordinators have to complete to reconcile the day?
What are appointment statistics and payment info?
This is function keys bring up a submenu to access a patient’s chart
What is F6
Because of what law do we need all patients to bring a referral to Spear to get continued services after 10 visits or 30 days?
Direct Access Law