Insurance I
What is a copay?
A fixed amount that the patient pays for a covered health care service
How many goals do we want to create with the patient?
5 "Strive for 5"
What carries oxygenated blood: arteries or veins?
Arteries
What is the contracted rate for an Adjustment of 3-4 regions through BCBS?
$38.50
What school did the ALL the Docs go to?
Life University
What is the shortcut to access the EHR?
period (.)
What is a coinsurance?
The patient's share of the costs of a covered health care service, calculated as a percentage of the contracted rate for the service.
What question do you ask to obtain the WERD Up?
"At the very least, you've got to be annoyed with this issue. Is it something more than that?"
How many thoracic vertebrae are there?
12
What is the patient's coinsurance for a chiropractic adjustment through Medicare in AL?
$7.95
What does ADIO stand for?
Above--> Down--> Inside--> Out
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CATEGORY
Chiropractic History
What is a deductible?
An amount the patient owes out-of-pocket during their coverage period for covered health services BEFORE their plan begins to pay
Name one line in the consultation where we use the negative acknowledgment.
1. In the past 2 weeks, how many days have you dealt with this pain?
2. And this was for THAT problem?
3. Medications
What are the top 2 vertebrae of the spine?
Atlas and Axis
What is the contracted rate for an Adjustment of 3-4 regions through UHC?
$60
Hilary Duff first appeared on what TV Show?
Lizzie McGuire
How do you access this list of patients that are currently in the office?
Z
What is the out-of-pocket limit?
The most the patient will pay during their coverage period for their share of the costs of covered services
"Great, I'm glad you're willing to try non-traditional approaches..."
When there are more than 9 patients scheduled for a time block, how do you tab over to see who else is scheduled?
F4
What is the 5 digit chiropractic code billed for an Adjustment of 3-4 regions?
98941
What is the diameter of the Earth?
8,000 miles
What is the shortcut to pull up the calendar in Platinum?
F11
What is the Allowed Amount?
The maximum payment the insurance company will pay for a covered health care service
What are the 3 categories to focus on when creating goals with the patient?
1. Home
2. Hobbies
3. Work
What is the strongest muscle in the human body?
Heart
True/False?
If a patient has a $5,000 deductible, none met yet, and 12 chiropractic visits per year, we will not use their insurance towards their corrective care plan.
True.
Who founded chiropractic?
DD Palmer
What is the shortcut to pull up a patient's associated documents in their account?
True/False?
The copayment is subject to the patient's deductible.
False
*The co-insurance
Name a section in the consultation where we copycat.
1. Past History
2. Past Treatment Options
What are the 3 major components of the Central Nervous System?
1. Brain
2. Spinal Cord
3. Nerves
What is the price of an adjustment through BCBS, for a patient that has 70% coinsurance and has met their deductible?
$11.55
Which movie franchise is known for the following: "May the odds be ever in your favor?"
The Hunger Games
In the adjusting room, what button do you press to manually pull up a patient's questions?
"Run Subjective"
This state was the first to legalize chiropractic practice in this year.
Kansas, 1913.
If a patient is responsible for 20% coinsurance on a chiropractic adjustment, who is responsible for the remaining 80%?
The health insurance
What is the purpose of obtaining a quality WERD Up?
To elicit a visceral-emotional response
What is Forest Gumps IQ?
75
True/False?
With a Medicare patient, the patient pays a 20% coinsurance, and Medicare Part A pays the other 80%.
False.
*Medicare Part B
What year was chiropractic founded?
1895
What is the shortcut to add a screen capture to the Imaging section of a patient's file?
A --> S
If a plan requires the patient to have a referral, who does that referral need to come from?
Their PCP
Define the acronym KLAM.
1. What does this Keep you from doing?
2. What would that Lead to?
3. How would that Affect you?
4. What would that Mean to you?
How many teeth does an aardvark have?
Zero
BCBS Insurance: $100 deductible, 10% coinsurance, 18 adj per year. Plan= 36v over 3 months with 2 evals and a $50 Denneroll.
What is their total cost of care?
$1,133.25
Who was Saturday Night Live's 1st celebrity host?
George Carlin
What is the shortcut to access the fee schedule?
Shift --> ?
If a patient has met their out-of-pocket limit, what does that mean for their cost of care in office?
Their plan will pay 100%
Complete the verbiage, "What we have seen is usually when the frequency increases..."
"...the intensity is quick to follow. It's a direct cause and effect."
What is the symbol for Copper on the periodic table of elements?
Cu
BCBS Insurance: $0 chiropractic deductible, 20% coinsurance, 12 adj. per year. Plan= 24 visits over 6 months with 2 evals, $50 re-xray, and a $50 Denneroll.
What is their total cost of care?
$832.40
Who received the first chiropractic adjustment?
Harvey Lillard
A patient stops at the Front Desk and asks for a print out of their Schedule of Corrections (Corrective Care Plan). What is the shortcut to get this done?
"I" (Print) --> "C" (Multiple Appt. Calendar)