ONTRAC
TYPES OF INSURANCE
BUFFER
QUICS
VISTA
100
WHEN IS ONTRAC SUPPOSED TO BE COMPLETED; WHAT STEPS DO YOU TAKE WHEN IT IS NOT
11AM; NOTIFY YOUR LEAD OR SUPERVISOR
100
WHAT IS THE BILLABLE DIFFERENCE BETWEEN PPO AND HMO
PPO= BILLABLE FOR ALL SERVICES HMO= MOST URGENT/EMERGENT ONLY
100
WHAT IS THE 1ST PRIORTY WHEN WORKING BUFFER
OLDEST DATE!!!!
100
WHAT BUCKET SHOULD NOT HAVE DELINQUENTS OUTSIDE OF YOUR SITE BUCKET?
IVMRA...EVERYONE SHOULD BE WORKING THE IVMRA BUCKET DAILY.
100
WHAT IS THE COMMAND TO VIEW PATIENT INSURANCE
^PI
200
WHEN SHOULD STAT EDITS BE DONE
PRIORTY 0;1ST THING IN THE MORNING AFTER SITE EXPORT
200
WHAT IS A MEDICARE ADVANTAGE OR REPLACEMENT
A PLAN THAT TAKES THE PLACE OF MEDICARE
200
IS THE COMMENT PROCESS NOT VERIFIED AN ACCEPTABLE NOTATION?
NO.......WE NO LONGER USE THE COMMENT PROCESS NOT VERIFIED. ALL POLICIES NEED TO BE VERIFIED.
200
WHAT IS THE ONLY ISSUES THAT SHOULD BE IN THE IVSUP BUCKET
COB ISSUES WITH THE COB LETTERS STARTED
200
WHAT IS THE CODE TO VIEW PATIENT REGISTRATION
^VIEW
300
IP ONTRAC; MEDICARE PRIME, AARP SECONDARY. HOW WOULD YOU SEND THIS
11/12 TRANSFER TO IP UR
300
WHAT ARE TWO TYPES OF INSURANCE THAT CPAC DOESN'T TOUCH
TRICARE/CHAMPVA
300
THE CURRENT TEMPLATE IN GROUP COMMENT IS DATED IN 2013, DO YOU REVERIFY AND ADD A NEW TEMPLATE?
YES.....A 2014 TEMPLATE MUST BE VERIFIED AND BUILT.
300
IS THIS AN ACCEPTABLE QUIC FROM AM? QUIC RECIVED: PLEASE NOTATE 99213 AS NON COVERED BENEFIT AND SEND TO BILLING TO CANCEL. REPJ
NO.....THIS SHOULD BE SENT BACK..QUICS FROM AM SHOULD REF INS NAME; INS REP; CODE, AND CODE DESCRIPTION.
300
WHAT IS THE CODE TO VIEW A BILL
^TPJI OR ^THIRD
400
OP ONTRAC; BILLABLE PRIMARY NO SECONDARY INSURANCE. WHAT WOULD BE THE PROPER STEPS.
1. VERIFY IF INS VERIFIED W/IN MONTH 2. IF VERIFIED W/IN MONTH SEND TO UR OP IF PRECERT IS REQ 11/13, IF PRECERT IS NOT REQ 13/13 UPDATE 3. IF NOT VERIFIED W/IN MONTH; REVERIFY SEND TO UR OP IF PRECERT IS REQ 11/13. IF PRECERT IS NOT REQ 13/13
400
CAN A HSA/HRA PLAN STAND ALONE? WHAT DO HSA/HRA STAND FOR
NO, THEY NEED TO BE ATTACHED TO A MEDICAL PLAN (CDHP/HDHP) HSA= HEALTH SAVINGS ACCOUNT HRA= HEALTH REIMBURSMENT ACCOUNT
400
ON THE INSURANCE/GROUP TAB WHAT IS THE FIRST FUNCTION THAT YOU ARE SELECTING PRIOR TO CREATING A NEW INSURANCE OR GROUP
LOOKUP FUNCTION.....YOU SHOULD ALWAYS BE UTILIZING LOOKUP FUNCTION SO YOU ARE NOT CREATING DUPLICATE INSURANCE COMPANIES OR GROUP PLANS
400
WHILE WORKING A PHARMACY QUIC, WHAT IS THE ONLY WAY TO WORK IT?
YOU MUST CALL THE PHARMACY INSURANCE EVERYTIME AND GET THE CORRECT BILLING INFO.
400
WHAT IS THE CODE TO VIEW AN INSURANCE COMPANY
^EI
500
IP ONTRAC; REGIONAL/TORT PRIME NO SECONDARY WHAT WOULD BE THE CODING SCENARIO
-3/13
500
HOW CAN YOU ENSURE CORRECTLY LOADING A MEDCO VS. EXPRESS SCRIPTS PHARMACY PLAN
MEDCO BIN: 610014 EXPRESS SCRIPTS: 003858
500
ADVANTAGE PLAN TERMED; DO YOU UNTERM THE MEDICARE A/B?
NO....YOU MUST CREATE A NEW MEDICARE A/B WITH EFFECTIVE OF TERMED ADVANTAGE PLAN
500
HOW MANY DAYS BEFORE A QUIC GOES DELINQUENT
14 DAYS
500
WHEN DO YOU USE ^TPJI; AND FOR WHAT PURPOSE, AND WHAT COMMANDS WILL YOU USE.
ON ALL QUICS EXCEPT ELECTRONIC PHARMACY; TO NOTATE WHAT ACTIONS YOU HAVE TAKEN ON THE QUIC. ^CM TO ADD COMMENT.
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