Dashboard
If you have a _______ colored open task this means a _______ has been returned and is ______.
What is turquoise; document; attached?
True or False: OC will check recapture report every other day to follow up on referrals not scheduled. The OC will select their clinic and be able to review all accounts that have been registered and does not have an appointment.
What is False?
When your Tricare patient is active duty authorization is required. You obtain the authorization from _____ and you edit the auth on Tricare website to add our common ____ _____.
What is PCP/PCM, CPT Codes.
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?
True or False: When you receive a signed POC you scan all pages into the patient chart. You must link and mark complete.
What is false. We link and leave open for the therapist to mark complete.
True or False: From the Dashboard you can search your therapist case load to assist with DC candidates?
What is True?
You can change to therapist initials and click on case load. From here you can print and highlight those that need DC. This list will allow you to sort the patient by oldest date for last visit.
Your patient hands you their FH application and proof of income. You would now to ____ ____ and ______ the _______ and ____ ___ _____.
What is email Marta; attach; application; proof of income?
You receive a Triwest authorization and it states there are 15 sessions approved; you will build your auth for ___ visits which is _____ by ____.
What is 13, reduced, 2.
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?
Athena should be checked _____ for any ___ _____.
What is daily; new orders?
If more time is needed when working a group open task a _______ ______ should to be requested.
What is date extension?
Your patient has a PPP90 payment plan, the ___ in demographics should be ___ ____.
What is FC; self-pay?
You have a patient who is wanting to start our wellness 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?
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?
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)?
There are 3 types of tasks within Raintree. These include ______, ______ and _____ _____ _____.
What is POC, AR and Work Comp Documentation?
When a patient’s account requires special set up for two active cases with two different primary payors it will be required that each payor plan code be set with the specific ____ that corresponds for financial responsibility. Also, if a secondary and/or tertiary payor or supplemental plan is verified, the _____ should be specified.
If the patient is a minor patient, the P Payor relationship should be set for ____, with the name, address, DOB, and gender of the legal age _____ for the account.
What is case, case, "3" child, guarantor?
Documentation is completed AND signed off by the treating therapist within ___ ____ or __ ____ ______ of the time service is provided.
What is 48 hours or 2 business days?
You receive a DOL patient and complete the initial evaluation. You must request authorization based off of _____ not ____. The request will be submitted using your clinics specific ____ number on the DOL Website.
What is units, visits, ACS?
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?
The End of Day (EOD) module provides a way to _____ and_____ the status of a single day's ______, _____ _____ and ______ ______.
What is track, verify; appointments, service tickets and ledger entries?
During live registration of a PPP90 patient you must print a ____ ____ _____ and collect ____ dollars for the initial evaluation.
What is prepayment pricing waiver; 180?
This policy is in place to establish and ensure adherence to company standards regarding obtaining POC signatures and to ensure practice standards and payer requirements are met and documented.
What is Plan of Care Signature Process?
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; documents; auth request; 24 hours?
When setting up a wellness account it does not require an ____ ____ . 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; SP0001; linking; case?