Insurance
Your patient notifies you that they have satisfied their deductible and OOP in full. You will now ____ ____, ______ in _____ _____, and add a ______.
What is re-verify benefits, update in eligibility records, and NCS?
Quick group check on Optum indicates submission is required. Evaluation is completed and your next step is to submit a ____ _____ online.
What is clinical submission?
All EOD documents must be kept in the clinic for __ _____.
What is 6 months?
You are scheduling a re-evaluation for a workers compensation patient. You will use ____.
What is RW?
Your patient hands you their EFH application and proof of income. You would now ____ ____ and ______ the _______ and ____ ___ _____.
What is email Marta; attach; application; proof of income?
Your patient presents you with Medicare as well as Tenncare secondary. When loading the B payer you would select _____ as the payer and use patients ____ as the ID number.
What is Medicaid, SSN?
The DOL processes authorizations in units not per visit. True or False?
What is True?
If more time is needed when working a group open task a _______ ______ should to be requested.
What is date extension?
You are scheduling an evaluation for a patient that has Medicare primary and Tricare secondary. Your appointment type is _____.
What is EMT?
Athena should be checked weekly for any new orders. True or False?
What is False?
When scheduling a commercial UHC patient it is important that you obtain the _____ _____ and complete a ___ ____ ___ on the ____ site.
What is group number; quick group check; Optum?
When One Call provides continued authorization it is imperative to check the ____ ____ visits as they often reduce the visits based off ______ visits from previous authorization.
What is total approved; remaining?
You have a patient who is wanting to start our Skilled Training program, but is wondering about pricing. You educate them that it will be ___ dollars for ___ minutes and ___dollars for ___ minutes.
What is $45; 30; $90; 60?
You are scheduling a Dry Needling only evaluation for a patient. Your appointment type would be ____.
What is ECDN?
This is the timeline you use in attempts of obtaining a signed POC since the initial electronic fax.
What is 7; 10 (day19); 7 (day26)?
During live registration of a ASPP patient you must print an ____ ____ _____ _____ and collect ____ dollars for the initial evaluation.
What is Advanced Self-Pay Pricing Waiver; 110?
WC patient has used all of the approved visits. CM calls you and provides additional sessions over the phone. You will use the ___ ____ form to build your authorization. You will follow up with ____, if necessary to ensure they have record of these newly approved sessions.
What is verbal authorization; TPA?
There are 3 types of tasks within Raintree. These include ______, ______ and _____ _____ _____.
What is POC, AR and Work Comp Documentation?
Your patient is a non Medicare vestibular patient and is scheduling their follow up appointment. You will use ____.
What is VGVS?
At month end you will finalize your ____ for the month by scanning in the ____ ____ ____ and ___ ____ ___ into the ____ ____ ____ of the month.
What is EOD; deposit log verification, validated bank receipts, last business day?
An Amerigroup patient has completed an evaluation and you schedule them for 12 sessions. You will submit the authorization request within ___ ____. Your next step is to ____ ____ _____ into ______ under ______ ______. You will follow up to confirm request was received with in _____ _____.
What is 24 hours, scan fax confirmation; documents; auth request; 24 hours?
To ensure you do not treat without authorization we have tools. To look into the future you would use the ___ ____ _ ___ ____. The ____ _____ ___ ____ report reflects _____ that have been posted yet there was no authorization to cover these.
Future appointments with authorization problems; charges holding for authorization; charges.
Patient has received a DME item and they have Medicare as their health plan. You are Medicare Bonded so you will load an ____ payer in the insurance line up to ensure appropriate billing.
What is F payer?
Your workers compensation patient has just completed an evaluation for work conditioning. You need to schedule the follow up appointments. You will use ____ as the appointment type.
What is VWCON?
When setting up a Skilled Training account it does not require a ____ ____ . When setting up the insurance you will load it in as a __ ____, using _____ as the code and then _____ it to the corresponding _____.
What is MD Script; P Payor; 00001; linking; case?