INSURANCE
AUTHORIZATION
GENERAL
RAINTREE REPORTS
BNET
100
BLUE CROSS BLUE SHIELD IS WHAT TYPE OF INSURANCE
What is COMMERCIAL INSURANCE
100
Name an Insurance we are required to submit for.
What is THERAMATRIX, TRICARE, GEHA, WORK COMP
100
WHERE DO YOU FIND INFORMATION ON WHERE TO SCAN ITEMS IN PATIENT CHART
What is SCANNING CATAGORIES LIST IN RAINTREE MANUAL PDF
100
What does Charges Holding for Authorization issue report show?
What is patients that have been seen without having authorization?
100
THE GOAL FOR FREQUENCY OR DURATION REPORT
What is 80%
200
A COINSURANCE IS
What is the percentage that a patient has to pay after meeting the deductible?
200
WHO SENDS AUTHORIZATION
What is INSURANCE COMPANY
200
Name one place you scan in a prescription for therapy in a patient chart.
What is What is in the case, and/or therapy tracking?
200
A patient is on the Inactivity Report because
What is they have not been seen in 2 weeks?
200
WHEN DO WEEKLY BNET REPORTS GENERATE
What is THURDAYS
300
EXPLAIN A COPAY
What is the flat rate the patient has to pay at each visit?
300
NAME REPORTS IN RAINTREE THAT HELP TRACK AUTHORIZATIONS
What is CHARGES HOLDING REPORT/ FUTURE APPOINTMENTS WITH AUTH ISSUES REPORT/ FILTERED PRINT FOR AUTH IN SCHEDULER
300
Name 3 things that are part of preplanning
What is PRINTING SCHEDULE, REVIEWING AND PRINTING NEW PATIENT PAPERWORK, REMINDER CALL , FOLLOW UP ON FLAGS, CHECKING FOR AUTHORIZATIONS
300
What does the Future Appointment with Authorization Problems Report show?
What is What is patient that have an appointment on the schedule but have not been seen yet?
300
PERCENTAGE GOAL FOR COPAY REPORT
What is 90%
400
The dollar amount a patient meets, and they are now covered at 100% is called what?
What is OUT OF POCKET MAX
400
Name one thing that you will need to fill out the authorization tab in Raintree.
What is What is Auth #, Claim #, # of visits, or Start and End date, case, service line, location, any?
400
What do you put in communication log?
What is EVERYTHING! If you did not document it, it did not happen
400
EXPLAIN DISCHARGE REPORT -WHEN CAN AN OC HELP
What is PATIENTS NO LONGER BEING SEEN - WHEN NEW PATIENT HAS NOT SCHEDULED AFTER 3 ATTEMPTS
400
WHERE DO YOU FIND HUMAN RESOURCE HELPS
What is BNET HOME > HUMAN RESOURCES
500
CRITERIA THAT HAS TO BE MET FOR PATIENT ACCOUNT TO BE NO COST SHARE
What is OOP MET / DED MET/ NO BALANCE ON LEDGER/ SOMETIMES $0.00 COPAY OR COINSURANCE
500
WHAT IS USED TO SUBMIT FOR AUTHORIZATION AND WHERE DO YOU LOCATE THESE
What is AUTHORIZATION FORM = PDF FORMAT ON DESKTOP AND IN DRAWER FILE FOLDER
500
EXPLAIN JOT FORMS AND WHERE TO FIND THEM
What is forms to fill out for payor overlap, adding case manager/adjustor, updating or adding physician, customer service - located in Google Chrome favorites bar or Desktop
500
EXPLAIN GUARANTOR MINOR REPORT - WHO IS ON IT AND WHY
What is MINOR PATIENT LISTED IN P-PAYOR INSTEAD OF PARENT/GUARDIAN
500
WHO DO YOU REVIEW WEEKLY REPORTS WITH
What is MY CLINIC DIRECTOR, DOFFOO, SOC, AREA FIELD TRAINER