Scrubbing
Group Open Tasks
Direct Access
Dry Needling & Wellness
Authorization
100
Report that comes out daily that includes the accounts that were scrubbed the previous day
What is the Daily Scrub Report?
100
Where you find your Group Open Tasks
What is the Dashboard?
100
The first question that your ask for a Direct Access patient.
When do you ask "Does the patient patient have a physician referral?"
100
A referral is not required, you will set this up as "Self Referred".
What is the referral requirement for Wellness?
100
Reports that we should check daily.
What is the Charges Holding Report and Future Auth Report?
200
When the account has been scrubbed, no errors are found, and we get paid on the first go
What is a clean claim?
200
(T/F) You do not have to select your location on the Dashboard
What is TRUE? (your location is under "'Group")
200
What we offer when a patient does not have a referral and their insurance does not allow direct access?
What is a Free Consultation?
200
The payment method that you will choose when posting a payment for DN/Wellness.
What is 1, 2, or 3?
200
The insurance where you have to check the group # on the Optum Website.
What is United Healthcare?
300
Accounts where an error is found and follow up is needed from the OC
What do the RED accounts mean on the Daily Scrub?
300
Enter a note that you are still working on this task, then select __________.
What is "Save"?
300
(T/F) We can schedule a direct access patient with a therapist that has their DPT and 2 years of experience.
What is True?
300
The payor code that you use for DN/Wellness.
What is Self Pay (Code 00001)?
300
The insurance where you have to log on to the Humana website and request every CPT code from the PCP.
What is Tricare Prime?
400
Subscriber Info, Payor Code and Card Copy not on file
What are the Top 3 Scrub Items?
400
When the task has been completed by the OC and it is routed back to sender to be marked complete.
What is a completed task?
400
The time limit that we can see a Direct Access patient before they will need to get a referral or signed POC.
What is 8 visits or 21 days?
400
(T/F) You will attach the DN/Wellness case directly to the payor.
What is True?
400
Auth is ALWAYS required through Optum Health
What is Aetna?
500
< 15%
What is our goal for the Scrub Report for the rest of 2017?
500
What we need to ask for when we need more time to complete the task
What is a deadline extension?
500
(T/F) We can schedule a Direct Access patient with a therapist that does not have their DPT but has 3 years of experience.
What is False? (without a DPT, therapist must have 5 years of clinical experience)
500
The billing code that you choose for DN/Wellness
What is P Payor?
500
The authorization that starts the day that you fax it
What is Orthonet (Humana)?
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