Vocabulary
Insurance
Where is it?
Operations
Roll the Dice
100

If the patient has one, the insurance plan requires us to collect this for every visit

Copay

100

TRUE OR FALSE?

We can bill some insurances for Rapid covid testing

TRUE 

100

Where are extra supplies for the restroom found? 

The Kitchen and the staff restroom in the back 

100

Who does the front office staff officially report to? 

Jackie

100

TRUE OR FALSE? 

If a patient calls the front desk and asks to speak to a provider we can transfer directly to the provider's office right away? 

FALSE

Calls should be routed through the Lead MA or Clinic Lead first to avoid interrupting patient flow

200

Acronym used for a cash paying patient

FFS

200

TRUE PR FALSE? 

We can see minors with Medical-Cal Plans

FALSE

200

Where are the COVID parking spaces? 

In front of the clinic

200

Who does the medical staff officially report to? 

Erica

200

What two things need to be registered on the INSURANCE page for Work Injuries? 

Occ Med AND Work Comp

300

Term used for Employment Services not related to a work injury

Occ Med


300

TRUE OR FALSE

We can never bill insurances for DMV Physicals

FALSE

We can bill PPO insurances for Physicals

Typically insurances will cover only one physical per patient per year.

300

Where is the change envelope sign out? 

Nurse station about the wall safe

300

Who can check charges? 

Brenda and Jackie

300

When are time off requests due? 

By then 10th for the following month unless it falls on the weekend. In that case, the next business day. 

400

The parent or responsible party of a patient under the age of 18

Guarantor

400

TRUE OR FALSE

TriWest is used on the insurance screen to register TRICARE patients? 

FALSE

TriWest is used for the VA

400

Where are the paper OUTGOING medical records requests kept for processing? 

In the back computer where Maryam usually sits

400

Where can you look for Authorizations? 

Auth Folder, 

Email, 

Fax, 

check with a manager or lead, 

call employer

400

Do we take Sharp Rees Stealy Insurance for COVID testing? 

No. We are not contracted with Sharp Rees Stealy Medical Group. Patients should coordinate with their insurance to find out where they can go. 

500
The amount you pay for covered health services before your insurance plan starts to pay


Deductible

500
A patient with no insurance comes in for a rapid covid test for entrance into a local concert venue. Can we bill the uninsured fund? 

No

500

Where can you find training and reference materials, most current copies of forms, and a list of phone extensions? 

Notebooks on OneNote (Front Office notebook or ECUC Wiki)

500

Who should you immediately report an emergent patient to? 

Lead MA, Clinic Lead, or other medical staff member

500

An FFS patient who has been coming to ECUC for years and was last seen in December 2017 comes in today to be seen for cold symptoms. No additional tests or procedures are performed. How much should we collect? 

$135. A patient is considered new if they have not been seen in the last 3 years.

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