This is the acronym for a third party administrator. ________
What is TPA?
100
Your patient identifies themselves as private pay. You first will educate them on the _______ program.
What is PPP90?
100
When a referring physician is found to have additional location(s) not listed in RT referral source, OC will send a _____ _______ request to add additional locations.
What is https://form.jotform.com/scorrado/raintree-referring-provider-request?
(this has been updated to allow you to mark this is an additional location)
* helpful tip - let your SOC know when adding in multiple location - to spread the word - may be helpful to other OC's to know this other location exists when needed.
100
With the exception of the first "automatic send" thru send routing of the POC - All attempts to obtain signature will need _________ __ ___ _________ ___.
What is documented in the communication log?
100
This is the effective date to use when adding a new patient - and you are setting up their insurance payor.
What is today's date?
200
When loading the insurance payer we select a relationship code. For WC this code is_______.
What is #5 employee?
200
The patient expresses difficulty with $90 per session due to extenuating circumstances. You would now educate them on the ______ program.
What is EFH?
200
A system which places additional accountability and efficiency on the clinic as well as the sales team. This process helps increase referrals scheduled and customer service to our referral sources.
What is Referral Recapture?
200
Once a referral is received in the clinic (ie. Fax, Walk in, Phone)
1. OC will quick register the patient with this required information ____ ___ & _____ _______.
2. OC will create a case and scan in referral if appropriate
3. OC will check (this often)______ the recapture report to follow up on referrals not scheduled.
4. Each phone call attempt will be ____________ in the call log of the __________ tab in the chart choosing the _____ _____category. Each call should be at varied times (Morning/Afternoon/Evening) to increase the potential of speaking with the patient. Please make sure to add the time in the notes of the call log.
What is
1.Name, DOB and phone number,
3.daily,
4.documented, communication, “referral recap”?
200
This is the name of the forms and places the OC would sign once the patient has finished the PIF's.
What is insurance verification form and hippa privacy policy form - witness signature?
300
When loading the adjustor or CM in the communication tab we load from the referral source table to allow for ___________.
What is CC faxing?
300
When loading PPP90 into the insurance section you would select ______ as the A payer code.
What is PPP90?
300
• Health History Forms from intake forms are now scanned into this category _________ __________ & Medical Form scanning category is used for __ _____.
What is Clinical History, MD Notes ?
300
This is an easy & efficient (might I add AWESOME) way to leave commonly used notes in patient charts/ communication log.
What is User Abbreviation manager?
300
This is required WEEKLY and can only be completed at a bank or by mailing _____ __________, then scanning the validated _______ slip on the ______ business day of the month in your EOD.
What is Bank deposit, deposit, last?
400
In patient demographic the OC must obtain key pieces of information. The OC will need to obtain the ____ and ____.
What is occupation, employer information?
400
To qualify for EFH the patient must complete ____ ___ and provide you with ____ _ _____.
What is hardship application, proof of income?
400
The use of abbreviations to replace words or sentences commonly used for noting patients charts.
In this order:*Raintree Icon
*Settings
*Preferences
*Spelling abbreviation options
*(select them all) hit ok
*_______ ____________ __________
What is User abbreviation manager?
400
When working a NCS - The OC will verify OOP has been met and all requirements for their benefit structure either online through an insurance website or by calling for the _______ _______ . This must be entered into a _____ ______ _______and noted in the ___________ ___ that a NCS has been added to the chart.
What is a second verification, therapy benefit record, communication log?
400
This happens if you change an appointment type on the scheduler after the therapists has opened up the note and began documentation.
What is loss of all note information! ?
500
The case record houses important information. When loading a WC case some pertinent pieces of information are ______, _______, ________, and update the _____ _____ ____.
What is DOI, Work related Y/N, Auth/claim #, Progress report tracking?
500
Your PPP90 patient must bring _____ dollars to the initial eval and _____ dollars to each subsequent session as well as sign the ___ ____ ____ ____.
What is 180, 90, Pre Pay Pricing Waiver?
500
This policy is in place to
1)establish and ensure adherence to company standards regarding obtaining POC signatures
2) to ensure practice standards and payer requirements are met and documented.
What is Plan of Care Signature Process?
500
Details of the communication log for attempts to get a signed POC will need to include these.
What is 1) the number of the attempt (1,2 or 3)?
2) Date & Method (ex;call,fax,hand delivery,other methods)?
3) name & title of person you spoke with at the providers office?
4) details of the conversation (status update)?
5) date of follow up call?
500
When patient is unable to pay full copay. They are willing and agree to a smaller payment per visit but must make at least a $_____minimum separately each month - this is called a _____ _____. Pt must call customer service to set this up.
1. agree - (on an amount) then 2. document this in the communication log. **Educate the patient the payment at each visit does not go toward the ______ ____ , but both the visit payment and the monthly _____ _____ payments will go toward satisfying the patient's financial responsibility.