Scheduling
Eligibility & Insurance
SFS Applications
Patient Bills
Miscellaneous
200
How are you able to verify the patient’s address in eCW?
By selecting the 
button.
200
If HCHC is not the patient’s PCP, what needs to be provided to you before making an appointment?
Reference number
200
Mary gets paid on a weekly basis. How many pay stubs does Mary need to bring in as proof of income?Which of the following is not considered proof of income?
4
200
When is a promissory note given to the patient?
When the patient is unable to pay their balance in full.
200
How many days should the patient expect to have a response to a RX request?
48-72 business hours
400
A new patient calls on Feb 1st, for an appointment on Feb 1st. What appointment type is this?
Same Day
400
Where can you find the redetermination date for Medicaid?
On the medicaid portal
400
If a couple is legally married and only the patient’s spouse is working, what would you ask the patient to bring as part of their SFS application?
Spouse's proof of income
400
After talking with a patient about their balance and they have further questions, what is the next step?
Contact the billing dept.
400
How many days should a patient expect to have their referrals sent to the specialist?
Within 10 business days
600
A new patient wants to schedule her PAP. What is this visit type?
AWW
600
What is missing in this insurance entry?
Effective Date
600
What is the grace period for a patient to provide their proof of income?
30 days or next appointment, whichever is soonest.
600
What would not qualify a patient to be offered a Financial Hardship Waiver Form?
A) Loss of Home
B) Recently widowed
C) Relocated
D) Loss of job
C) Relocated
600
If someone calls stating they have critical results for a patient, what is the order of escalation to handle this?
1. Provider’s MA
2. MA Supervisor
3.Clinic Manager
4. Patient’s Provider
5. MOD
6. Any Provider
7. Medical Director
800
True or False?
Provider Jessica Sylvester accepts visits for prenatal care?
False
800
Can we schedule this patient for an appointment?
No
800
Which of the following is considered proof of income?
A) Bank Statements
B) Child Support
C) W-2 Form
D) Housing Assistance
C) W-2 Form
800
When an insured patient calls/asks about a lab bill, what is the workflow process for this?
Instruct them to contact the lab they received the bill from
800
Fill in the blank.
If the patient has not been seen in ____ months, rx will be denied and refill will be enough to cover the period prior to their scheduled appointment.
6 months
1000
What step is missing scheduling a Hospital F/U appointment?
-Select Transition of care: records requested but not received.
-Schedule hos f/u visit
Send Encounter to Medical Records with the dates the patient was seen, the location and any additional information such as phone or fax number.
1000
What is missing in this insurance entry?
Co-pay Amount
1000
A single mom who works at Walmart has 2 children ages 5 years old and 19 years old that live with her. The 19 year old works part time at Starbucks. What proof of income is required from this family?
Both the mother's and the 19 year old’s proof of income
1000
Looking at the screenshot below, what is the patient’s balance?
Do you collect on this balance?
Patient Balance is :$0.00
No you would not collect.
1000
What is missing from this ROR (release of records)?
The facility where the records are being requested from.