WC Magic Presentation Part 1
What is the difference between Prior auth and Retro auth?
Prior auth is acquired before the DOS and retro auth is acquired after the DOS
What does SOP stand for?
Standard Operating Procedure
What does DVT stand for?
Deep Vein Thrombosis
List 3 different categories of people we communicate with on a daily basis at work
Adjusters, sales reps, CSR reps, coworkers, ASP reps, insurance reps
At what height are you considered a 'short king'?
5'8" and under
What qualifies an injury as a workers compensation claim?
An injury that happens while you are on the clock at work
How do we apply the CYA rule in our daily workflow?
By taking detailed notes of all of our daily activities
Name two of the five topics covered in our billing packet
NICE unit image, clinical references, opioid studies, HCPC codes, fun facts
Who is Princess May Sandiego?
An OCCM rep
How tall is Chris James?
6'6"
What does FROI stand for?
First report of injury
List the five parts of the WC Matrix
The insurance Matrix, WC Payer Protocol, Insurance Logins, Templates and Acronym Sheet
Name three factors that increase your risk for developing DVT?
Post-op SX, Heart conditions, Smoking, Age, Oral contraceptives
Thinking back to our Key and Peele video on healthy communication, why is a clear line of communication important?
So you don't get clobbered with a post apocalyptic Jackie Robinson bat in a bar
What is Carli's least favorite thing on the billing packet?
The poorly photoshopped image of a lady using the NICE unit
Name the five key requirements for a clean claim submission
Patient demographics, insurance information, a signed RX, DOI, and employer
Why is a POD important?
POD proves that the patient received the equipment. Without the POD we cannot bill the order as we cannot prove the patient received the equipment
Why are opioids for pain relief dangerous?
Opioid addiction is very common and can be a lifelong battle
Name 4 of the 8 sales reps that work at Vanlingverity
Matt Mangano, Mike Mangano/Ferrell, Sam Riccio, Alex Longobardi, Marc Tanules, Sydney Cassone, Casey Mclaughlin, Sara Frolish
What year was the WC Matrix ORIGINALLY started?
2020
What state does not require employers to have WC insurance?
Texas
Name all three acronyms used for Proof of Delivery
POD (Proof of delivery) PA (patient agreement) AOB (Agreement of Benefits)
The Egyptians
Let me hear your customer service voice
Woohoo!!
Who is Senor Pastel?
Ivan