INSURANCE
What insurance cannot be scheduled in the same hour?
medicare/medicare
medicare/tricare
tricare/tricare
patient says they have medicare and Humana medicare advantage. Medicare would be primary and humana secondary.
FALSE- maps REPLACE medicare. patient cannot have both even though a lot think they do.
what is your weekly scheduling percentage to meet for you to be able to get your monthly bonus?
*bonus points for copay percentage too*
80%
90%
Toby walks in with a fever of 102 when you check it. What should you do?
Tell the patient their temp and inform them they will have to leave until they are symptom free
How do you post a retail payment?
Go to "clinic name" retail. post payment. USE 1, 2, or 3. Make comment of what was purchased in comment section. post charge under therapy note as service ticket
What color is an appointment on the scheduler for WC?
light green
Jim calls to schedule and has Tricare Prime. We can schedule him same day or next day without his order/auth.
FALSE- requires auth the be submitted BEFORE their first visit
What are the steps you take when someone has to cancel their appointment for this week and would like to make more for next week? (tell me what you will click)
Copy appointment then cancel it.
then paste copied appointment onto next week
Angela comes in and is angry about a bill. What can you do to help?
Apologize!!! Let them know you are unable to see anything regarding their bill but you will be happy to reach out to someone that can help. If REALLY angry mango customer service, if not send CCS checkbox form adn have them contact patient. get CD involved
What is your location number?
" their clinic location number"
If Dwight calls and says he has an attorney and would also like to use his health insurance, what would the insurance line up look like? (ex. which is A and which is B)
A- health insurance
B- Attorney
You print patients intake forms from the source
FALSE
walk me through printing an appointment card
right click patient on schedule, click "appointment card" on the right. Print
If you do not have a certain specialty a patient is calling and trying to schedule for, what should you do?
Apologize and let them know you will find out the closest location that has that specialty. If you need to put them on hold to ask do that as well.
What is document routing and where is it located?
where all of your faxes come in electronically in RT. it is under utilities
What insurance can we use the tool "quick group check" on optum?
UHC
We can see third party insurance.
EX.. Pam wants to use the car insurance of the individual who hit her in a car accident.
FALSE- they can use their personal car insurance, their health insurance, or attorney lein.
How do you schedule a TEVAL Spot? and can you move these around? What color is it?
Drag the time you want for TEVAL. right click. reserve time. type TEVAL in description. SAVE
Stanley calls and says his back is hurting too bad for PT today (he is coming for his back...) what would you say to him?
1. Why dont you come in and get some heat on your back and PT can check it out to see whats going on and why it is hurting you so bad.
2. if that doesnt work ask to put them on hold (dont say what youre doing) and get PT to get on phone and talk to them.
How do you get to ARM to register a patient?
Engagement Center. ARM. ARM dashboard. set to referral tracking
Without looking at your ins code guide, tell me a code for an insurance you have memorized.
see ins code guide
If a patient calls and says they tested positive for covid, you call everyone that was in the clinic the same time as the patient on their last visit.
FALSE
Its Monday and you need to get a new patient in and we do not have ANY eval spots until Friday. What do you do?
Ask eval to hold. Find PT and see if there is any where we can move patients around or PT come in early or leave late to get patient in.
BONUS!!! which insurance do we HAVE to offer withing 24-48 hours?
What are you steps for scheduling telehealth? Does this have to be when the clinic is open?
Get patients info just as if they are scheduling at your clinic, register them. Submit telehealth request on the source. this can be after hours or weekend.
What are two reports that you run every day to help you keep up with your authorizations?
Charges holding. Future appointments with authorization problems.