Systems
Payers
Weird ins rules
Your problem or mine?
Miscx
100

RC9U copyright year (closest guess)

1991

100

Who is our biggest commerical payer?

BX

100

T or F:

There is a charge that exists for holding your newborn baby

SKIN-to-SKIN contact charge

In cases like C-sections, hospitals may charge a fee (e.g., $39.95) to cover the additional nurse required to facilitate skin-to-skin contact in the operating room

100

Updating account

STAFF

100

Why did the medical bill go to therapy?
 

It wanted to work through its financial trauma!

200
Can you delete documents from RASI?

NO- you must call the help desk 

200

Name 3 payer avaiable on Availity

BX, Aetna, HFT, Molina, ETC

200

What percentage of adults do not understand their own insurance coverage?

  • Half of insured adults struggle to understand their coverage.
200

requesting reports

Supervisors

200

What is Nicoles birthday?

6/18/87

300

Is an insurance update required in PM Office after 6 months from DOS?

NO- once acct is over 6 months updates are only required in invision

300

What is the insurance code for OPTUM TRANSPLANT?

L20

300
If a patient has both a commercial ins and Medicare and the company they work for employees 19 employees. Who is prime?

MEDICARE

300

Adjustments over 74,999.99?

Supervisors

300

If I had a million dollars.....

Id be rich

400

Where do you find the drug description in FinThrive?

Attachments- charge line

400

What is a TPA? What do they do?

TPA stands for Third-Party Administrator 

Key Roles of a TPA:

  • Claims processing
  • Customer service
  • Provider network management
  • Benefits administration
400

 What does the surprise bill act not protect?

The No Surprises Act protects against unexpected out-of-network bills—but not for ambulance services

400

Tracking staff time accruals

STAFF

400

What is customer service phone number?

631-444-4151

500

Where is patient clinical information stored?

Power chart

500

Name 2 federal insurances that are not Medicaid or Medicare

VACCN

Tricare

WTC


500

What is the worst rated health insurace based on recent consumer reports?

UHC

500

Review and audit work?

BOTH

500

What is Diana's sprit animal?

BIGFOOT

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