Registration
What is the name for the person financially responsible for the account?
Guarantor
These insurances require assigning a PCP
Managed Care Medicaid and Cascade Plans
A patient arrives late for a newborn appointment. Can they still be seen?
Yes, newborns should always be seen even if they are late
Can a patient apply for Sliding Scale if they have insurance
Yes
True or False: If you fix a recurring computer or workstation issue yourself, you shouldn't report it to IS.
False
True or False: The subscriber and guarantor are always the same person.
False
A patient says they have new insurance but don't have the information with them. What should you do first?
Run them through Provider One
What are the 3 different ways a patient can self-check in and register?
Welcome Tablets, Send Registration link or on MyChart
What should you offer a patient if they cannot pay their balance today?
A payment plan
What is the name of the PSR Newsletter?
Hot Tea
This must be verified at every patient visit to keep records accurate.
Patient demographics (Address, phone number, insurance)
Where's the best place to verify Medicare insurance?
Medicare Noridian Portal
Do we attempt to collect copays and past balances at every visit?
Yes
Name three acceptable forms of proof of income patient's can bring in to apply for Sliding Scale
Payroll check that shows YTD income
One month of current pay stubs
Current wage statements/written statement from employer
Social Security statement
Letter of support
First page of current or previous year tax return
Previous year W-2
Profit/loss tax statement
How does a patient get a discount on their prescriptions from HealthPoint and labs done through LabCorp if they get a retroactive sliding scale discount?
For medications the patient needs to go to the pharmacy directly, but the PSR must contact labcorp either by phone email to get the patient a discount on the labs.
A patient is 21 and covered under their spouse's insurance. Who is the subscriber?
The spouse
Why do we scan patient's insurance cards?
It helps patient accounts bill the correct payer and provides as reliable resource if we have any issues later on with the insurance.
Would you schedule a patient with chest pain and shortness of breath out two weeks?
No! Depending on the Emergent Symptoms guide you may need to dial 911 or get a nurse for immediate triage
What must be done before offering a patient a Hardship Waiver?
Have the patient apply for sliding scale and offer a payment plan. They must have an approved or denied sliding scale tracker on their account to show they have applied within the last year.
Where do you go to report an incident like verbal abuse, harassment, etc?
Healthicity/Compliance Manager
What does PCP and PDP stand for?
Primary Care Provider, and Primary Dental Provider
What insurance covers acupuncture?
CHPW Apple Health, but the amount is limited per year
What are two visits that requires a Medicaid Non-Covered Services waiver?
For patients with Apple Health: Circumcision, Acupuncture if they have CHPW Apple and reached their annual limit, Major Dental Services like Crowns, Root Canals, etc
How do you turn in a hardship waiver to Patient Accounts?
Scan to the M drive and email to billing@healthpointchc.org
What is HealthPoint's dress code for non-clinical staff?
Business Casual