Lab Registration Jeopardy

Acronyms

100

RTE

What is Real Time Eligibility?

200

DOB

What is Date of Birth?

300

COSR

What is Conditions of Services Rendered?

400

HAR

What is Hospital Account Record?

500

MSPQ

What is Medicare Secondary Payor Questionnaire?

Documents

100

This document informs patients of their right to decline genetic research from being performed on their blood, tissue or urine.

What is Coded Genetic Research?

200

This document is offered to patients 18 and older and the Sky Lakes policy states outpatient will offer it at least once a year.

(Hint: Living Will)

What is Advance Directive?

300

This is a contract between a doctor and a patient for end of life care.

What is a POLST (Physician Order of Life Sustaining Treatment)?

400

This document tells the patient about their rights and responsibilities while they are here and is signed once a year for outpatient appointments.

What is Patient Rights and Responsibilities?

500

This document is a legal document that gives permission to treat, talks about financial obligation and responsibilities and other information - it is good for one year in the outpatient departments

What is 1 Year COSR?

Workflows

100

This is the only time you deactivate a guarantor

What is when a minor turns 18?

200

When a patient presents to get labs drawn in the lab or an ODS Lab station I should follow these steps:

What is find the patient on Patient station, One Click the Lab and register the patient?

300

To change the Guarantor I follow these steps

What is Create the HAR, Change the Guarantor, Edit/Add Coverage (Insurance)?

400

When I collect a PO Box address I must also remember to collect what?

What is the Physical Address?

500

To update a Registration I do this

What is highlight the encounter I want to update and click the Reg button to access the Registration?

Insurance

100

This type of insurance is state funded and for low income people

What is Medicaid?

200

For a coverage to be commercial the patient must qualify for one of these 3 reasons.

What is Employment, Individually Purchased or Retired?

300

A patient can qualify for Medicare based on these three options.

What is Age, Disability and End Stage Renal Disease - ESRD?

400

Work comp insurances have this Financial Class

What is Third Party (Liability)?

500

If a patient cannot give all their insurance information or you don't have the insurance information available to create a coverage I should.

What is mark the patient as self-pay and leave a HAR note?

Misc

100

These must be answered with the patient every time they fire for a Medicare Patient.

What is the MSPQ (Medicare Secondary Payor Questionnaire)?

200

You must read this every time you check eligibility whether you are adding a coverage or verifying it in the checklist.

What is the RTE Response History?

300

When searching coverges I should look for these 4 things in this order?

What is Address, Financial Class, Plan and then Payor?

400

If you add a coverage, term a coverage or remove a coverage from the Hospital Account you must leave these for billing.

What is HAR Notes (Hospital Account Notes)?

500

You must remember to change the Member Effective From date to ______ when you Create a coverage and use ___________ when you term a coverage that is no longer active.

What is T and T-1?