Commercial Insurance
What patient responsibility is a set amount for routine services?
Copay
Who is always the subscriber for Medicaid?
The Patient
Which Medicare part covers Inpatient services?
Medicare Part A
What is the form we give to patients that have Medicare and are placed under an Observation status?
Medicare Outpatient Observation Notice
(MOON)
The Statue of Liberty was given to the US by what country?
France
What is the name of the amount the patient must pay in full for their insurance to start to pay?
Deductible
What is the purpose of the Card Control Number on a Florida Medicaid card?
Used to look up the patient's Medicaid number in FLMMIS.
Who is the subscriber for Medicare?
What is the form we give to Medicare patients that are admitted under an Inpatient status?
Important Message from Medicare
(MIM)
There are four original colors of Starburst candy: red, orange, yellow, and _______.
Pink
Who is the individual who initiates the insurance coverage?
Subscriber
When is Out of State Medicaid accepted for services?
In the ECC
The first step in determining if Medicare is the primary or secondary payer is to interview the patient using what?
Medicare Secondary Payer Questionnaire
(MSPQ)
What form do we provide the patient with if they forget their insurance card and we are unable to locate their policy in the ECC?
Health Insurance Call Back
How many eyes does a bee have?
5
What is name of the percentage the patient must pay after they've met their deductible?
Co-Insurance
What happens once a patient's Share of Cost is met for the month?
Mediciad covers their services for the remainder of the month.
Which should be billed as primary - Medicare or Veterans Administration (VA)?
Neither - We can only bill one.
What is the name of the form we obtain to state the order of the patient's insurance to be billed?
Coordination of Benefits
(COB)
What year did Facebook launch?
2004
What are the 7 requirements to load insurance?
1. Carrier
2. Plan name
3. Policy Number
4. Group Number
5. Subscriber
6. Ins billing address/phone number
7. Effective Date
What identifies the patient's eligibility group and determines which service are covered?
What is it called on the MSP when the patient is within their first 30 months of receiving Medicare because of ESRD?
In Coordination Period
What two pieces of information do we need in order to run an ABN?
Procedure Code (CPT)
Diagnosis code (ICD-10)
What was the first film to produce a soundtrack?
Snow White