MEDICARE
REGISTRATION
INSURANCE
RANDOM
100
WHAT DOES MEDICARE PART A AND PART B COVER?
WHAT IS: MEDICARE PART A: INPATIENT MEDICARE PART B: OUTPATIENT
100
WHAT DO YOU DO WHEN THE CLINIC IS ON BATCH PRINT FOR 1 DAY OUT AND YOU ARE REGISTERING THE PT 2 WEEKS OUT?
WHAT IS: SELECT 'DO NOT PRINT' AS THEY WILL PRINT ALL DOCUMENTS NEEDED AUTOMATICALLY 1 DAY PRIOR TO THE APPT
100
WHAT INSURANCE IS ALWAYS SELECTED LAST?
WHAT IS: INDIAN HEALTH
100
WHAT ARE 2 OF THE INSURANCE WEBSITES YOU CAN VERIFY A PATIENTS INSURANCE THROUGH?
WHAT IS: 1. ABILITY (MEDICARE) 2. AVAILITY (BLUECROSS) 3. NAVINET (CIGNA, AETNA, UNITED HEALTHCARE) 4. HARVARD PILGRIM (HARVARD PILGRIM) 5. MIHMS (MAINECARE) 6. MARTIN'S POINT (MARTIN'S POINT) 7. HEALTH PLANS (HEALTH PLANS, HEALTH PLANS DIRIGO CHOICE) 8. MCHO (COMMUNITY HEALTH OPTIONS)
200
WHAT ARE THE THREE ELGIBILITY FACTORS FOR MEDICARE?
WHAT IS: 1. THE PATIENT IS ABOVE THE AGE OF 65 2. THE PATIENT IS DISABLED UNDER THE AGE OF 65 3. ESRD
200
WHAT IS OUR TELEPHONE NUMBER AND OUR HOURS OF OPERATION?
WHAT IS: 207-973-8900 MON-FRI (7AM-7PM) *BONUS* SAT (8AM-2:30PM)
200
WHEN DO YOU USE OR SELECT 'SELF PAY?'
WHAT IS: WHEN THE PERSON DOES NOT HAVE ANY INSURANCE. YOU MUST PUT THE PATIENT AS THE SUBSCRIBER. IT IS ALSO A GOOD IDEA TO DOUBLE CHECK MAINECARE.
200
NAME AT LEAST 2 OF THE 5 SCENARIOS THAT YOU DO YOU NOT NEED CONSENT, FROM A PARENT OR GUARDIAN, FOR A MINOR AT EMMC?
WHAT IS: PREGNANCY PSYCHIATRIC STD'S FAMILY PLANNING SUBSTANCE ABUSE
300
WHAT DO YOU SAY WHEN THE PERSON THAT ANSWERS THE TELEPHONE CALL IS OFFERING TO REGISTER THE PT BUT HAS NO KNOWLEDGE OF THE APPT (LOCATION/DATE/ETC)?
WHAT IS: "I'M SORRY, DUE TO HIPPA REGULATIONS, I AM UNABLE TO DISCUSS SPECIFICS OF THE APPOINTMENT UNLESS YOU HAVE SOME KNOWLEDGE OF WHAT IT IS FOR."
300
WHAT DO YOU DO WHEN AN INSURANCE BEGINS WITH A 'z?'
WHAT IS: REMOVE IT
400
BENJAMIN IS A 50 YEAR OLD MALE WHO HAS BEEN DISABLED FOR 5 YEARS. HE IS MARRIED AND IS CURRENTLY ON HIS WIFE'S INSURANCE POLICY, AS WELL AS MEDICARE. HIS WIFE WORKS AT TARGET. WHAT INSURANCE WOULD YOU BILL FIRST?
WHAT IS: THE WIFE'S INSURANCE, SINCE TARGET HAS MORE THAN 100 EMPLOYEES, AND BENJAMIN IS UNDER THE AGE OF 65.
400
AFTER YOU'VE SUCCESFULLY COMPLETED A REGISTRATION. WHAT DO YOU RIGHT CLICK ON THE PT/APPOINTMENT?
WHAT IS: 'MODIFY,' YOU THEN SELECT 'YES' UNDER THE REGISTRATION COMPLETE DROP DOWN BAR
400
WHEN BOTH PARENTS HAVE THEIR DEPENDENT CHILDREN ON THEIR INSURANCES, WHOSE INSURANCE IS PRIMARY?
WHAT IS: THE PLAN OF THE PARENT WHOSE BIRTHDAY FALLS EARLIER IN THE YEAR IS PRIMARY (BIRTHDAY RULE). ONLY THE MONTH AND THE DAY ARE CONSIDERED WHEN DETERMINING WHOSE BIRTHDAY FALLS FIRST.
500
WHAT ARE THE 6 QUESTIONS REQUIRED BY MEDICARE FOR THE MSP FORM?
WHAT IS: 1. DO YOU HAVE MEDICARE DUE TO AGE OR DISABILITY? 2. ARE YOU ON THE BLACK LUNG PROGRAM? 3. HAVE YOU BEEN DIAGNOSED WITH ESRD? 4. ARE YOU ON ANY RESEARCH GRANTS FROM THE FEDERAL GOVERNMENT? 5. DO YOU HAVE ANY VETERAN'S BENEFITS? 6. HAVE YOU BEEN INPATIENT OR STAYED OVERNIGHT IN ANY HOSPITAL OR NURSING FACILITY IN THE LAST 60 DAYS?
500
WHAT ICON DO YOU NEED TO USE WHEN SCHEDULING OR THE CLINIC HAS CREATED A 'SHELL' FOR THE APPT?
WHAT IS: 'MODIFY VISIT' INSTEAD OF CREATE VISIT
500
WHAT ARE THE ANTHEM PREFIXES?
WHAT IS: VOM, VOS, VOQ
M
e
n
u