Registration
Who is the Guarantor
The person that is ultimately responsible for paying the patient’s bill
What is a Medicare Advantage Plan?
A type of Medicare health plan offered by contracting private companies, give all Part A and Part B benefits also know as Medicare Part C
What button in Epic should be used when moving through a patients registration?
What is the pull information button
Where are the patient experience scores be found?
What is the bulletin board in the kitchen.
When is a patient a new visit appointment?
What is every 3 years.
What is a PCP?
What is the Primary Care provider who manages the patients general medicine.
What are patient flags?
What is a way to identify information that is key when dealing with the patient. (Behavioral, Health, etc.)
What is the Medicare B Part cover?
Outpatient care and doctors' services
What is the Auth for payment form?
Written authorization form policyholder for their insurance company to pay benefits directly to the care provider
What is our monthly goal?
What is 84.9%
Can a patient have 2 visits on the same day in the same department?
What is yes...a wellness visit and follow up visit.
A physician who specializes in the diagnosis and treatment of cancer.
Who is an Oncologist?
When patients call, what Information should we use to identify them in Epic?
What is full name and date of birth, phone number or Address.
What is a Deductible?
A fixed sum that a beneficiary must contribute towards the cost of their health care BEFORE insurance benefits begin.
What is benefit verification?
Validating with third party payors that a given plan is active and ascertaining the patient’s deductible, co-pay, limitations and estimated cost.
How often does a patient get a survey?
What is every 90 days within a service line.
What is for an appt that requires immediate attention.
What is a physician who manages the diseases of the gastrointestinal tract and liver.
What type of medicine is GI?
When should an accident response be yes and what should be attached?
What is the visit is related to an accident (Auto, WC, etc.)
Who is the subscriber?
The individual who carries the insurance coverage.
What is a Medicare Advantage Plan?
A type of Medicare health plan offered by contracting private companies, give all Part A and Part B benefits.
What is the proper opening for a call
Thanks for calling
What are Wellness visits called?
What is Physical, Welcome to Medicare & subsequent Wellness visit.
What is Outpatient Care?
Treatment received by a patient in a hospital or clinic. The patient does not require hospitalization.
Where do you go to add a visit type modifier (additional time, visit restriction, etc.) to a patient?
Patient options
What is a co-pay?
A fixed amount the beneficiary pays for health care services, regardless of the actual charge; the amount is designated as the patient’s responsibility.
This form gives the patient the right to request how and where their healthcare provider communicates with them?
The Patient Record of Disclosure Preferrred Contacts form.
What is Top Box Scores?
What are the percentage of responses answered "Very Good"
What is the standard appointment length of a New Visit with a PCP
What is 30 minutes for the first visit for weight loss and 15 mins for follow up visits.
What is Behavior Health?
What is the area that handles the mental health and substance use disorders?