Insurance
This amount due by the patient each visit is a percentage of services rendered.
What is Co-insurance
This term is used when a patient cannot schedule out follow up visits after their evaluation is completed due to insurance authorization required by the plan.
What is Auth after eval
This is another name interchanged at brooks you may hear that still has the same meaning as Charity.
What is Financial aid or Financial Scholarship
This program is a self pay program not covered by insurance where our members can access technology up to five days per week.
What is the Independent Program
When this comes back signed from the MD we email Chris to notify him it can be sent to the vendor.
What is a Wheelchair Evaluation?
This is a fixed amount due by the patient each visit
what is a Copay
This is the term used when a patient does not require authorization but is only given a set amount of visits for the calendar year.
What are Visit Limitations?
This is what we call the forms a patient completes when wanting to receive assistance from charity.
What is the Financial assistance packet.
Patients referred for this Program require the NRC FDCs to task the patient evaluations to initiate participation.
What are the Wellness Programs @ local YMCAS.
These specific independent members schedule their program one week before the normal scheduling day?
Who are Pool Only Members.
This form is an option when a patient does not wish to pay each time they come in.
What is the Balance Bill Form
This term is an internal process through image now to communicate auth requirements and submissions with our central intake unit
What is Tasking ?
These items are all examples of what ? SSI, W2s , Bank statements.
What is proof of income.
This is required for a patient to start the independent program after evaluation and setups have been completed.
What is an orientation appointment.
This column on the schedule shows where Elissa is assisting physical therapy each day?
What is the EP Column?
This is a specified amount of money that the insured must pay before an insurance company will pay a claim.
What is a Deductible
This BCBS Medicare Replacement Prefix is the only Prefix that requires auth to be obtained by the PCP?
What is XJRH .
Charity determinations are based off of this.
What is household income?
This is the maximum amount of months a patient can be out before needing a new evaluation to start their independent program again.
What is 3 months.
All evaluations scheduled must be added to what for tracking and KPI?
What is the Referral LOG!
Once this amount is met by the patient they will be covered by their insurance at 100 %
What is an Out of Pocket Maximum
This medicaid product is by UHC and we only accept it for qualifying diagnosis when auth before eval is obtained by the PCP.
What is Americhoice?
If a patient has this insurance we can send through an initial face sheet once benefits exhaust without having the patient complete a full FA Packet.
What is Medicaid.
This day occurs on the second to last Monday in any month?
What is Scheduling day !
This is what we should all do when we are unsure upon answering a patient question or following a new process.
What is ASK EACHOTHER FOR HELP :)