Humana
What is the website we use for Humana Authorization
What is Cohere
What is the CIGNA website for authorization?
What is ASHLink
Which UHC plans need prior authorization?
What is Medicare and Commerical UHC plans.
What is the Medicare Threshold for 2024?
What is $2,330.
What are 2 things we need to do a Humana authorization?
Name a patient that has Cigna for which you or a therapist has done Authorization.
What is/ Who is: Casey S, Ami I, Elizabeth N, etc.
Where is Medical Billing Center Located?
Where is Greenville, SC.
What date does Authorization begin for UHC?
***DOUBLE JEOPARDY***
What is Sept. 1 2024
What is the Medicare deductible for 2024?
What is $240.
Who are Marvin S. Sandra S, Barbara P, Frank O, Kay A, Bonnie M, Carol B, Jane T, Alansieta T,
What is 8
What is $19.88.
Do initial evaluations require authorization?
What are the GP modifiers we need to use when a patient has met the Medicare threshold?
What is KX modifier.
What is the turnaround time for Humana Authorization?
What is immediately!
What is the symbol for cigna in Theraoffice?
What is a yellow square.
Who is all self pay patients, all dry needling patients, all wellness patients (unsupervised and supervised), and ionto patients
What is 10 days (not 10 business days) OR ELSE claim will be denied.
Why is it important to have a referring Physician attached to Medicare.
If you complete an Initial evaluation or a return visit note for a patient that has Humana and you see that they do not have authorization for this visit you should do what?
What is 1) You can complete the note but change bill to "on hold" so MBC does not send- in notes section please note needs auth do not send 2) Tell Allie immediately and she will handle this
What is the pin # for ashlink?
***DOUBLE JEOPARDY***
Deductible= Set amount of money that you pay out of pocket for covered health care services before your insurance begins paying
OOP= The max amount a patient would pay in their insurance calendar year (includes, deductibles, copays, and coinsurances)
Copay= fixed amount that you pay for covered health care services after you've met your deductible or sometimes immediately. The remaining balance after a deductible or copay is usually covered by insurance.
Coinsurance= Is the percentage of costs you pay after you've met your deductible.
What is the symbol for UHC in Theraoffice?
What is a red circle.
If a patient has UHC Medicare- they will have a red circle and yellow star
What is the symbol for Medicare in Theraoffice?
What is a yellow star