Dashboard
If you have a _______ colored open task that means a signed POC has been returned and is ______.
What is teal; attached?
True or False: OC will check Journey Dashboard every other day to follow up on referrals not scheduled.
What is False? OC needs to work Journey Dashboard daily
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 CPT codes.
What is PCP/PCM?
Your patient notifies you that they have satisfied their deductible and OOP in full. You will now ____ ____, update in eligibility records, and add a ______.
What is re verify benefits, and NCS?
Where would you find copay/coinsurance percentages report?
What is _ the BI tool
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?
True or False: If a patient has already been seen then comes in with a new insurance needing to backdate, submit a Payer Overlap for all changes that are needed.
What is True? Anytime changes are needed to payer after patient has been seen Payer Overlap is needed.
When scheduling a commercial UHC patient it is important that you obtain the _____ _____ and complete a quick group check on the ____ site.
What is group number; Optum?
By clicking _____ ______ stage you send out a notice to the referring MD that a patient is scheduled from the Journey Dashboard?
What is patient scheduled?
If more time is needed when working a group open task a _______ ______ should to be requested.
What is date extension?
Your patient has a ASPP payment plan, the ____ needs to ______ and _______ into Raintree documents.
What is waiver; signed; scanned?
You have a patient who is wanting to start our skilled training, 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 BCBS primary and UHC Community Plan secondary. When loading the B payer you would select _____ as the payer and load Raintree Sub ID# as _____ ______.
What is FEDNP, Member ID ?
This is the timeline you use in attempts of obtaining a signed POC since the initial electronic fax.
What is 7; 7 (day14); 7 (day21);7(day28-30)?
There are 3 types of tasks within Raintree regarding front office. These include ______, ______ and _____ _____.
What is POC, AR and Bill Review?
If the patient is a minor patient, the __ ____ relationship should be set for ____, with the name, address, DOB, and gender of the legal age _____ for the account.
What is P Payor, "3" child, guarantor?
For MVA patients, we can only bill ____ _____ as the ______ payer. ______ party payers can't be billed
What is auto insurance; primary; third?
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.
What is case; case?
The following day from bank run on ______ OC to scan _______ _______ ______ and signed _______ ______ with EOD paperwork.
What is Tuesday; validated deposit slip; deposit log?
The End of Day (EOD) tab provides a way to _____ and_____ the status of a single day's ______ and ______ ______.
What is track; verify; appointments; payment collections?
Once a referral is received for the clinic through _______ _______ associate will link the referral to the Journey Dashboard by following the below steps: 1. From Document routing- double click on the referral 2. Change to _______ 3. Add Referral Source 4. Change type to _____ _______ _______ 5. Search for patient. 6. If patient is found select _____, if not select add ___ ______ and link.
What is Document Routing; Referral; Lead Tracking Profile; patient; new journey ?
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 you will call ___ ____ to confirm if ____ have been used. Obtain _____ _____ and complete _______ process.
What is same day; visits; reference number; NOAUTH?
When setting up a dry needling case it does 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?