Humana is what type of Insurance?
What is Commercial Insurance?
Name an Insurance we are required to submit for.
What is Tricare, Work Comp, Aetna, and UHC, Humana HMO Gold?
What is Senior Office Coordinator?
Name the report that shows the error in the address.
What is Guarantor Address Deficiencies Report?
A percentage that I patient has to pay after they have met their deductible. Is what?
What is Co-insurance?
What are the following? One Call, SpNet, Therapy Direct, and MedRisk.
What is a third party administrator or Worker comp company?
Name one place you scan in a prescription for therapy in a patient chart.
What is in the case, and/or therapy tracking?
Patient Responsibility Exceptions Report Shows....
What is the patient that have an issue with the p payer, either multiple p payer, no p payer, or only a p payer?
A flat rate that they patient has to pay at each visit. Is what?
What is a Copay?
Name at least one thing that you will need to fill out the authorization tab in Raintree.
What is Auth #, Claim #, # of visits, or Start and End date, case, service line, location, any?
What department do we request Zpay access from?
What is Accounting Requesting?
What does Charges Holding for Authorization issue report show?
What is patients that have been seen without having authorization?
The dollar amount a patient meets, and they are now covered at 100% is called what?
What is Out of Pocket Max?
Name the company that we submit Aetna patients to for Authorization.
What is Optum?
Name at least one thing that is part of preplanning.
What is o FOLLOW UP FOR COUNSELING, o AUTHS, o RED FLAGS o CALLNEW PATIENTS TOCONFIRM APPOINTMENT, FINANCIALLY COUNSEL AND ADD CHART NOTE. o PREPARE NEWPATIENT PAPERWORK FOR NEXTDAY, INCLUDEOUTCOMES AND AUTH FORMS?
The difference between MVA and MVAL as a financial class. Is what?
What is MVAL is where the patient is using a Lien, and the MVA is where the patient is using commercial INS or Medpay.
Name the Company we submit All Humana patients to, for authorization.
What is Orthonet?
What do you put in communication log?
What is EVERYTHING! If you did not document it, it did not happen