BILLING/PRIOR AUTH
What insurance has a global period 10 day global period after all procedures?
Medicaid (any plan)
How often do you have to fill out the MIPS section of the plan?
Every visit
What two physical exams must be positive in order to qualify for RFA?
-Tenderness to palpation over facet columns
-Facet loading
Who sings the popular song "Daisies"?
Justin Bieber
What must be present in the patient's appointment comment box prior to calling them for a Telemed appointment?
"Good to call for telemed"
This shows that we have already contacted them and collected their copay.
True or false: No matter what, after the 15 minute mark of a patient's original appointment time, they may not be seen and must reschedule.
FALSE
What dx code is necessary when recommending a ESI?
HINT: what would you search in the search box?
Radiculopathy, M54.1X
What is the name of Halle's baby?
Lane
How many sessions of each of the following can you have per year (under insurance):
-ESI
-TPI
-RFA
ESI: 4
TPI: 3
RFA: 2
True or false: It is the float's responsibility to take patient's that show up early.
FALSE
Float responsibilities:
- Monitor the stock in exam rooms, ensuring medications are current and removing expired items.
- Replace the sharps container as needed.
- Assist with patient care ONLY when providers are experiencing delays.
- Before taking multiple patients on a provider's schedule, make sure no other providers need assistance.
What diagnosis is a stellate ganglion nerve block most commonly used for in our clinic?
Parosmia
BONUS: what is parosmia?
Who got 4th place on this year's season of Love Island USA?
Iris and Pepe
What three medication categories must a patient try and fail prior to being considered for Botox through insurance.
Antidepressant, antiseizure, and beta-blocker
A patient's MME is 35 and they are on Hydrocodone, Gabapentin, and Buprenorphine. What would their risk level be on a lab req?
HIGH
Reminders from lab:
- Any time buprenorphine or THC are present, their risk level is high.
- Make sure to put patient's legal name (not nickname).
- Make sure to mark outside prescribed medications.
What must a radiology report include in order for a patient to qualify for Intracept?
Modic changes/Endplate changes
What year was the first iPhone release?
2007
True or false: with any Medicare plan, it is okay to proceed with RFA when a patient has had an anterior spinal fusion.
True
Fusions are confusing. Ask billing if you are unsure!
What is the name of the translating site that we use during visits?
What does the Reactiv8 procedure treat?
Multifidus atrophy/dysfunction
What US president was a licensed bartender?
Abraham Lincoln