Insurance
The number of days out to schedule a patient who has Johns Hopkins EHP for a CT Chest.
What is 14 days out?
3D Screening Mammogram Bilat - Maryland Physicians Care
What is $50 for the tomo portion since it is not covered by MPC? MPC only covers tomo for diagnostic/callback mammos.
Open MRI locations
What is Olney and Mt. Airy?
The MCO that must be manually verified (Eligibility response=blank gray shield)
What is Medstar Family Choice?
The patient is has an order for Xray Chest, Xray Knee, and Xray R Hip but the order is only associated with 1 exam.
What is ERROR? The script must be attached/assoicated to all of the exams it applies to.
True of false: Mercy Health Clinic patients do not have to pay anything ATOS.
What is False? They pay a $35 fee per visit.
3D Screening Mammogram Bilat - Priority Partners
What is $0?
Sites that perform Breast Biopsies
What is Bethesda, Bowie, WIG, and Frederick?
The website we can use to manually verify Medicare
What is Availity?
The patient did not provide an email, the No Email Address box is checked off on the Reg, but the PSR did not leave a note stating "No Email"
What is NO ERROR? The No Email Address check box works as documentation to support why there is no email, PSRs no longer need to leave a note if this box is checked. Reminder: We want to try to get an email from ALL patients!
The code to use for a UHC MDIPA patient having a Mammogram, RAD=PG.
What is 2906? Charles and PG county patients are now considered non-capitated for all exams.
Reasons to log into TSYS
What are patients paying a bill, collecting medical records fees*, and Imagine Pay downtime? Also, to check transactions in the event a patient was charged twice. (Remember to fill out a handwritten CRA receipt and Miscellaneous OTC form.)
Where is Dr. Porambo on Tuesday?
What is Admin (Aspen Hill)?
The password for the EVS/Medicaid website
What is CRARadnet2020**?
The patient has Amerigroup, and the Employer Name field is left blank
What is NO ERROR? Amerigroup does not come from an employer. It is Medical Assistance from the state.
True or false: For Medchex patients, the patient must sign the approval ATOS. The approval will be scanned into RIS and saved as Insurance Eligibility.
What is False? It will be scanned in as Insurance Authorization and should be rescanned in as Insurance Authorization after it has been signed by the patient.
CT Chest Abdomen Pelvis W/WO - UHC MDIPA (Rad=HOW)
What is patient will need to self pay- $972?
Where a patient can go for US Venous Doppler of both legs, Dx: Varicose Veins
What is patient should go to a vascular lab?
What is a $40 copay?
The patient sent a complete and valid script to us via Secure Pic, we applied the PAID stamp to it after taking a payment, and rescanned it into RIS on the date of service
What is ERROR? This would be a duplicate requisition. Scripts should only be scanned into RIS once. Make sure the right click+Change Associations.
True or False: We cannot see Kaiser patients.
What is False? They can bee seen if they have a Kaiser referral authorizing them to have the exam done at CRA. (Note: Kaiser Flexible Choice does not require an auth/referral for low modality exams, only high modality exams. Other Kaiser plans require the referral for ALL exams.)
MRI Shoulder Arthrogram - Self Pay
What is $886?
One site that performs CT on Saturdays
What is Frederick, also sometimes Greenbelt and Bowie?
The information that should be documented in Order Notes when you manually verify an insurance over the phone
What is the phone number I called, who I spoke to or automated system, active coverage with effective date, and reference number if available; also any benefits owed ATOS (i.e. deductible, copay, coinsurance)?
A walk in, self pay, X-Ray patient is arrived with the following attachments scanned in ATOS: Driver's License, Script/Referral, Patient Responsibility Waiver, Registration.
What is ERROR? The SCANNED RECEIPT is missing.