Moda
Potpourri
Medicare
Oregon Health Plan
Veteran's Adminstration
100

Moda Connexus plans require a referral.


True or False.

FALSE

100

This is the name of the form filled out for worker's compensation

827

100

This type of Medicare only covers inpatient services.

What is Part A?

100

This our local Medicaid HMO Plan

What is EOCCO?

100

This is how long a VA referral authorization is good for

What is 180 days?

200

MODA plans eligibility verification website

What is One Health Port?

200

Preferred Provider Organization & Health Management Organization

PPO & HMO

200

This is where you can look up Medicare eligibility.

What is Noridan or MyAbility websites?

200

The name of the Medicaid open card plan

What is DMAP?

200

This is a request for additional services not included in the original referral authorization.

What is an RFS? (request for service)

300

MODA is the administrator for this coordinated care organization. (CCO)

What is EOCCO?

300

This is where you can look up an existing Providence authorization.

What is ProvLink?

300

This is a plan managed by another insurance company, other than Medicare, that replaces traditional Medicare coverage. 

What is an Medicare Advantage plan?

300

Where you can see a patients coverage history with OHP

DMAP Website


***Daily double if you can log into the website and show me how to verify coverage***

300

The two closest VA Facility locations are

Walla Walla & Boise

400

This used to be called a Moda Medicare Advantage Plan.

What is Moda Summitt?

400

The name of the waiver that pts sign in they have no insurance coverage

TRICK QUESTION!

if a pt is truly self pay they do not need to sign a "notice of non-coverage" waiver

400

This is a document signed when Medicare may not cover a service.

What is an Advance Beneficiary Notice, or ABN?

400
This plan(s) requires a sterilization consent to be signed 30 day prior to the procedure.
What are all Oregon Medicaid Plans?
400

This is a healthcare program for veteran's family members, based on certain eligibility requirements, that does not require a referral.

What is ChampVA?

M
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