MSP
The first step in determining if Medicare is the primary or secondary payer is to interview the patient using what?
What is Medicare Secondary Payer Questionnaire?
This is the amount offered to a patient if they aren’t filing any insurance for today’s service.
What is a Prepayment Plan or Flat Rate?
What program is used to check Medical Necessity for all traditional Medicare Patients?
What is Access Director?
If a patient, spouse, or family member retires from a company that provides retirement benefits and those benefits apply to the patient, then enter Yes for what area on the MSP?
What is GHP including retirement?
What benefit information is needed to create a patient estimate?
What is co-pay, co-insurance, Deductible and out of pocket?
A plan that has less coverage and provide minimal benefits to patients are called what?
What is Limited Benefit Plan?
Patient has a GHP. GHP over 100 Employees should be marked YES when?
When patient has Medicare for a Disability?
This icon in Epro is used to pull benefits from Accureg to avoid manually entering the amounts?
What is the battery icon?
To populate the foreign address country and postal code field what must be completed?
What is “XX” in the state field and “Foreign” in the zip code field?
The patient is within their first 30 months of getting Medicare because of ESRD is considered what in the MSP?
What is in Coordination Period?
In Epro if you want to create an estimate without a visit number what would you select?
What is quick estimate?
If a foreign patient has travel insurance, what information do they need to obtain from the insurance company over the phone?
What is claim number and us billing address/phone number?
True or False: An individual can be entitled to Medicare based on both Age and Disability simultaneously.
What is False?
This window in Epro allows you to add or drop CPT codes from your estimate.
What is the view/modify bundle screen?
Some insurance companies require this before higher priced services are performed.
What is an Authorization?