SCHEDULING
AUTHORIZATIONS
VERIFICATION
ESTIMATES
BONUS
100
Patients last visit was 05/03/2012. How do you assist the patient?
Schedule as NP and give NP Packet
100
Name insurances that require prior authorization for DME
MCD, BCBS, Tricare Prime, UHC Compass & Navigate
100
When checking in a new patient, should the cards be sent to verification team when the BA is complete?
No
100
What is self pay for Lumbar ESI?
$456.00
100
What type of MCD requires referral?
Carolina Access
200
The appointment is at 1:10pm, what time do we tell the patient to arrive?
1:10pm and ask that they arrive 10 minutes early for check in
200
Where do you find procedure authorizations?
?
200
Patient comes in with new insurance that requires referral what do you do?
Send card to verification and have patient wait to be seen
200
Estimate major joint injection for UHC going to deductible.
$143.33
200
What does CBI stand for?
Carolina Back Institute
300
Today is 5/14/2016 when can the patient schedule a procedure needing authorization?
2 Weeks from 5/14/2016
300
Who handles medication authorizations?
Cindy O'briant-Medical Assistant
300
Patient claims to have met OOP for year, what do you do?
Notate BA, send action item to verification to update BA
300
Which insurances do not cover CS?
Coventry, BCBS
300
What is Suzy's baby's name?
Jessie
400
What do you do before rescheduling consult who have no showed/late canceled 3 times?
Notify intake coordinator
400
Who can schedule less then 2 weeks out for procedure?
Any that do not need prior authorization
400
Patient has large OOP, but brings in secondary insurance, what do you do?
Send both cards to verification and have patient wait to be seen
400
Estimate bilateral lower extremities EMG for UHC.
?
400
What road was the first office on?
Blue Ridge Road
500
How do you know if referral on file is expired for an appointment?
Check the referrals tab or ask authorizations department
500
Which insurances require PCP referral?
MCD, Aetna,
500
Name insurances that are OON
BCBS Blue Value, Gateway Health, Blue Local (CHS)
500
Estimate self-pay for New & Pro (Bilateral RFTC)
No such thing as bilateral RFTC
500
What are the core values?
Excellence, Integrity, Respect
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