Assure Health
Once in a former partnership with Assure Health, what company was recently bought out and is now 100% owned by Assure Health?
Higi Health
True or False?
if someone is covered with original Medicare as primary, and Medicaid then it is not necessary to collect their tertiary insurance since they are already covered and this will just prolong the call and create more hassle for the patient.
FALSE
Medicaid acts as the payer of last resort for most services. Under the program’s third-party liability (TPL) rules, other legally responsible insurers are generally required to pay for medical costs incurred by a beneficiary before the Medicaid program will do so. If another insurer is not collected it could result in denial of coverage. It is important to always ask for and collect all insurance for any patient.
This action is not needed for new accounts or when rescheduling but is required for all other changes made to a patient's info on an account.
What is creating a task to update Drchrono for Anna.
Daily Double
Is there a way to add a medication to the app to only notify every 2 weeks for an injection?
No, unfortunately, there is no such option yet. You can only select between every day or select days of the week.
True or false?
You can use HSA and FSA to pay for Hero with both Assure and Hero.
TRUE
Both HSA (Health Spending Account) and FSA (Flexible Spending Account) can be used for a HERO through RTM or Hero Directly.
True or false:
Assure Health is able to take patients from All 50 states excluding Washington DC and Puerto Rico.
False! We can not offer services to Patients in Puerto Rico
Our licensed medical providers can offer services to patients in all 50 states and in Washington, D.C. only.
A patient just texted that her address has changed, and she wants the hero sent somewhere else, but it has already shipped. What do you tell the patient they should do?
A. To manage an incoming delivery the receiver of a package can go to https://www.fedex.com/en-us/delivery-manager.html
Or also through the detailed tracking page or mobile app. They’ll have the options to request to:
Have their package returned to them
Correct an address
Reroute or make an address change
Dispute a delivery
Redirect their package to a secure location to be held for pickup
Allow someone else to pick up a package.
Place a vacation hold on packages (up to 14 days)
What is the process for when a patient has been discharged and wants to rejoin the program? Please explain the process for each scenario.
If the discharge was within 60 days they can be reinstated without an appointment. We discharge after 61 days of inactivity
To reinstate you must:
1. Let your team lead or Anna know that they want to be reinstated.
If discharge was not within the last 60 days they will need a new appointment.
To reinstate you must:
1. Schedule a new appointment
2. Let your team lead or Anna know
3. Post appointment in PE to PN channel and mark as an appointment for reinstatement after discharge.
True or False:
The Hero app will let you add multiple caregivers so that the whole family will be able to follow along and be the first to know when a loved one misses a dose. However, caregivers will only be able to track one patient's medications and only one caregiver will be able to have control of programming or remotely dispensing a medication.
False:
It is TRUE that The Hero app will let you add multiple caregivers
AND
It is TRUE only one person whether it's the patient or a caregiver will be able to have control of programming or remotely dispensing a medication.
However, it is FALSE that caregivers will only be able to track one patient's medications
A daughter or son who wants to be able to track the meds for both parents will be able to toggle between multiple accounts on the HERO app.
True or False:
Plan J covers Medicare Part A and Part B deductibles.
TRUE
Plan J covers part B and A deductible just like plan C and Plan F.
Who is the MOST important person and their role at Assure Health
The patient. We are a patient-first company.
When scheduling a Spanish Speaking Only Patient remember to do the following 4 things.
1. Before scheduling, PLEASE mark Spanish as their language on Salesforce account.
2. While Scheduling Only Schedule appointments from 9 am to 5 pm EST Monday thru Friday. There are no weekend appointments available in Spanish at this time. The Provider does not matter because the PN team will make sure to assign these patients to Brenda PN and Arielle Mittens for assistance.
3. After SCHEDULING please flag the patient that will require an appointment in Spanish in the PE-to-PN-Changes channel on Slack and tag @patient_navigators.
4. Send the patient the PDF of set-up instructions in Spanish.
Name these three essential requirements you must know when scheduling a weekend appointment
1. Inform the patient their list of medication and signed consent forms must be submitted before 7 pm EST on the Friday before the weekend.
2. Appointment must be scheduled before 6 pm EST on or before the Friday prior to the weekend appointment. (If submitted at the deadline be aware this will only give them 1 hour to gather and submit their list of medications.)
3. There are NO same-weekend appointments allowed. This means No same-day appointments for Saturdays and Sundays and no next-day appointments on Saturdays for Sundays.
You just finished scheduling a patient when they tell you that they have a family member with the same insurance and they want to see if they could be approved as well. However, they are not in the system so you gather their information and set them up yourself. However, when you go to send the consent forms you notice nothing is available in the drop-down menu. What is the most likely error here?
1. You created a lead but left the Lead division or Lead Source empty.
2. You jumped to and created a new account instead of a new lead to convert into an account.
A patient calls and tells you they have original Medicare A and B primary and a Part D through BCBS. Based on this info how would you explain their coverage?
They have original Medicare and a prescription drug plan. Plan D is Medicare supplement Part D refers to prescription drug coverage.
These two positional and empathetic phrases can be found in bold lettering alongside the company "mission" on our company website myassurehealth.com. These phrases might even be considered the unofficial company slogan or tagline. Can you recite either one?
“We’re not just a healthcare company. At Assure Health, we keep people healthy. Because we care.”
“Millions of patients with chronic conditions only see their doctor for a few minutes every year. At Assure Health, we know we can do better.”
This patient has Medicare Part A and B primary and their part B deductible is met and secondary insurance through ChampVA with a 25% coinsurance and a $50 deductible which is not met. How would you explain this insurance to the patient?
The answer must include an accurate description of coverage and remind the patient of deductible resets.
for example.
Sir/ma'am it looks like you would be covered with your Medicare and ChampVA plan however i do see coinsurances and deductibles for both. So i'll explain what this would translate to you in terms of what you'll pay out of pocket. You have already met your deductible for your Medicare so your out of pocket cost will be about $26 for your first two months at which point you'll have met your deductible for your ChampVa and this would mean that your monthly payment would then drop to about $5.20 for the remainder of the year. Just a friendly reminder to keep in mind both of your deductibles will reset at the end of the year, at which point you could be billed up to $226 or until you've met your Medicare deductible. Remember your deductible is the portion of all of your healthcare costs that you pay for before your insurance starts to pay. The $226 deductible if met through us will mean it will be met for all your healthcare providers and is something you might have needed to pay anyways if you regularly visit your doctor at any point in the year. By meeting it with us it means you would no longer need to pay that later since you already met it through us.
Name 3 critical things you must do if you are not talking directly to a patient.
1. Check Patient info name/insurance is correct in the account
2. Make sure the Patient representative is added to the account
3. Inform the patient rep is aware that the patient must be in the appointment or we will need proof of medical POA
Salesforce is throwing up an error and not allowing the record in Drchrono to be created. What is the most likely cause and the first thing you should check to resolve this?
Make sure that the address is all on a single line.
Apt #'s building #'s interesting streets etc should all be typed out on the same line as the street and house number. DO NOT press return when adding the information instead type all of it out on one line and let the address fix itself onto the next line by itself.
Daily Double (in jeopardy format must answer with a question)
Answer: In addition to a medical power of attorney. This document is also acceptable and grants an individual the authority to make healthcare decisions on a patient's behalf.
Q. What is a healthcare proxy?