Patient Lookup
How should a PCR handle a discharged patient?
Advise them to have a seat and alert an HCA/ Supervisor
Which tab in the Add/Edit window can you document that a patient has a twin, is uninsured, or speaks a different language?
Notes Tab
Medicare Part C is also known as...
Medicare Advantage
What are the red required fields in the support role window?
First name,
Last name,
Relationship,
Support Role
There are 2 documents that are listed as Informed Consent during batch scanning. What are they?
Consent to treat
Registration
What are 3 ways to recognize alerts?
1. Alert pops up when entering the account
2. Alert sign will be red under the patient profile picture
3. In the chart from the alerts tab
Which schedule view provides the patients gender, time of appointment, and event type only?
Weekly List
Is the insurance subscriber always considered the Guarantor?
NO
Guarantor: Is the responsible party held accountable for the patient's bill. The guarantor is always the patient, unless the patient is a minor or an incapacitated adult.
In the UDS tab, what must be established before completing the family income information?
Head of Household
Define Deductible
Deductible: Amount a patient must pay BEFORE insurance begins to pay for covered services and supplies.
Which lookup icon on the blue toolbar will allow you to search via medical record#, encounter# or person ID#
Chart Lookup Icon.
From the shortcut toolbar this icon will allow you to add or update the providers on the schedule?
Preferences Icon
True or False
The Promise portal will only show State insurances when checking eligibility.
False
It will show any insurance that the patient has. Afterwards you have to go to the other payer's website to verify eligibility.
From the shortcut menu where can you update the patient's status?
Workflow status
There are 2 reasons that a child can be listed as their own Guarantor. What are the reasons?
Child is emancipated
Child is pregnant or already has a child.
The lightning bolt icon represents two different functions in Nextgen. What are they?
True match field
It refreshes the appointment book.
This view provides color bars as an indicator of the providers availability.
Monthly View
This type of plan requires the patient to have a primary care provider and need referrals to see specialists?
HMO
True or False
A patient can be checked in the day before their appointment
False
What's the difference between copay and co-insurance?
Copayment: In some health plans, the amount that is paid by the patient AT THE TIME OF SERVICE.
Coinsurance: A percentage of covered charges the patient may pay AFTER insurance pays what they are contracted to pay.
If a duplicate account is identified who should be notified?
I.T.
They will either merge the accounts into one or get rid of the duplicate account.
Four of the five schedule views are specific to only one resource/ provider. Which one is not?
Multi-View
Name 3 Medicare Advantage plans
Aetna Medicare,
Keystone 65,
Keystone VIP,
Personal Choice 65,
Highmark Whole care,
Jefferson Health plan Medicare,
Humana Medicare,
UPMC for Life,
Allwell PA Health & Wellness,
Clover,
Cigna Medicare Advantage,
United Dual Complete
Which 2 places can guarantors be added during check in?
Create encounter window
Relations and Roles tab
What is the name of the system that we use to send automated messages and appointment reminders to patients?
Inphonite System