SCHEDULING
What time do we schedule AHCCCS patients?
OFF PEAK HOURS ONLY (11AM-4 PM)
WHAT DOES EMERGENCY AHCCCS COVER?
EXTS, RCTS
IN WHAT ORDER SHOULD WE OFFER PAYMENT OPTIONS?
PIF
PAYMENT PLAN
CARE CREDIT
NO LATER THAN 8:45 AM.
WHEN SHOULD WE BE CHECKING CASES?
MOVING FORWARD, CASES SHOULD BE CHECKED EVERYDAY FOR THE REST OF THE WEEK. IF A CASE IS NOT IN OR THE LAB TELLS YOU IT WILL NOT BE IN BY PT'S APPT, YOU SHOULD BE CALLING PT TO LET THEM KNOW/RESCHEDULE THEM. COMMLOGS NEED TO BE LEFT AS WELL SO WE ARE AWARE.
WHAT IS REQUIRED BEFORE SCHDUELING A PT FOR PRODUCTION?
DOWNPAYMENT, FINANCES, CARD ON FILE FOR PIF, WE SHOULD NOT BE SCHEULDING PATIENTS THAT ARE NOT FINANCIALLY COMMITTED.
WHEN IS A PRE AUTH NECESSARY?
ANYTIME ANY MAJOR TX IS NEEDED AND THERE IS NO INFECTION PRESENT. ONLY AHCCCS PTS.
WHAT DETERMINES THE AMOUNT NEEDED AS A DP FOR FINANCING?
THE AMOUNT OF TX THAT WE WILL BE FINANCING. FOR EXAMPLE, IF PT'S TX PLAN IS $5000, WE WOULD NOT COLLECT $100 AS A DP AND FINANCE THE REST. DP SHOULD BE REASONABLE.
*****FOR FRONT OFFICE*****
WHAT SHOULD WE BE DOING FOR NP'S AND RECALLS BEFORE THEIR APPT?
CALLING TO CONFIRM APPTS, CHECKING TO MAKE SURE THEY ARE SCHEDULED WITH THE CORRECT PROVIDER, CALLING AHEAD TO COLLECT INSURANCE AND INPUTTING IT INTO CHART. ESPECIALLY FOR LATER APPTS, AND SATURDAY APPTS.
WHAT IS REQUIRED BEFORE DISMISSING A PT THAT SIGNED UP FOR ORTHO?
RECORDS AND XRAYS (PANO, CEPH)
FINANCES, FORMS. PLEASE BE SURE ALL OF THIS IS DONE PRIOR TO START APPT TO ENSURE WE ARE ABLE TO START PT ON TIME AND WE DO NOT GET BEHIND.
WHEN DO PT'S NEED TO COME IN FOR AN ORTHO CONSULT?
PATIENTS SHOULD ONLY BE COMING IN FOR AN ORTHO CONSULT ONLY WHEN THEIR CASE LOOKS A LITTLE COMPLEX AND GP DR RECOMMENDS COSULT WITH DR. MARIO. OTHER THAN THAT, WE SHOULD BE SIGNING CONTRACT AND SCHEDULING PT AS A START.
PER THE INSURANCES, AT WHAT AGE IS A PT CONSIDERED A CHILD VS AN ADULT? (FOR PROPHIES ONLY)
ANYONE UNDER 12, IS CONSIDERED A "CHILD"
12+ IS CONSIDERED AN "ADULT". PROPHIES SHOULD BE PROPERLY TX PLANNED BY THE DA, AND SHOULD BE BILLED ACCORDINGLY BY FRONT OFFICE.
WHEN OFFERING PIF OPTION, HOW MANY PAYMENTS SHOULD WE OFFER TO SPLIT INTO?
TYPICALY ONLY OFFER TO SPLIT PAYMENTS UP INTO THE AMOUNT OF VISITS HOWEVER, IF WE NEED TO OFFER EXTRA TIME, CARD MUST BE ATTACHED.
WHAT INCENTIVES ARE WE OFFERING FOR EVERY PIF OVER $300, AND ORTHO CONTRACT YOU GET?
FOR EVERY ORTHO CONTRACT, OR PIF YOU GET, YOU WILL GET A CHANCE TO PULL A JENGA PIECE OUT. EVERY PIECE HAS A DIFFERENT PRIZE.
BEFORE LEAVING AT THE END OF THE DAY, WHAT SHOULD WE DOING?
FULLY COMPLETING DUTIES, COMPLETING NOTES.
MOVNG FORWARD, NOBODY WILL BE ALLOWED TO LEAVE BEFORE CHECKING WITH US TO MAKE SURE EVERYTHING IS DONE.
FOR FRONT OFFICE*****
HOW SHOULD YOU DETERMINE WHO SHOULD BE SEEN AS A WALK IN?
MAKE SURE PROVIDER IS IN AND/OR IT IS SOMETHING THAT CANNOT WAIT.
(EMERGENCY, SWOLLEN, SEVERE PAIN, ETC..)
CAN WE DO PROPHY/PERIO MAINT AND SRPS ON THE SAME DAY? AND WHY?
NO, THERE IS A FREQUENCY LIMIT MEANING WE WILL NOT RECIEVE PAYMENT. YOU MUST WAIT AT 90 DAYS BEFORE DOING PROPHY/PERIO MAINT AFTER SRPS.
IF A PT SEEMS INTERESTED IN ACCEPTING TX HOWEVER IS A LITTLE HESITANT, WHAT SHOULD WE DO?
OFFER A LITTLE MORE OF A DISCOUNT, BE A LITTLE MORE FLEXIBLE TO HELP PT OUT. FOR EXAMPLE, INSTEAD OF 20% OFF, OFFER 25%. OR START PT'S PP PAYMENT A MONTH LATER.
WHAT SHOULD WE BE DOING DUIRNG OUR DOWNTIME?
STAYING PRODUCTIVE. DEEP CLEANING LAB, OPS, HOSES, ORGANIZING, CALLING PTS TO SCHEDULE, ETC..
WHAT SHOULD WE BE ADDING TO NOTES?
ANYTHING DR TELLS YOU TO ADD AND ANYTHING THAT IS DONE. BE SPECIFIC AND DO NOT JUST USE TEMPLATES! TEMPLATES ARE THERE TO GUIDE YOU AND SHOULD NOT BE USED AS YOUR FINAL NOTE.
(NV INSTRUCTIONS, TX DONE, TX THAT NEEDS TO BE COMPLETED, FINANCES, IF PT WAS REFERRED AND WHY, ETC.)
WHAT SHOULD WE BE LOOKING FOR ON THE SCHEDULE AHEAD OF TIME? WHO SHOULD BE CHECKING?
ANY SCHEDULING ERRORS, EVERYONE SHOULD BE CHECKING FOR ANY SCHEDULING ERRORS AND SHOULD TAKE INITIATIVE TO FIX THEM, EVEN IF YOU WERE NOT THE ONE THAT MADE THE MISTAKE.
WHAT DOES A "MISSING TOOTH CLAUSE" MEAN? AND WHERE CAN YOU FIND THAT INFORMATION?
IF A PT DOES NOT ACCEPT TX IN OFFICE AND SAYS THEY NEED TO "THINK ABOUT IT", OR "TALK TO THEIR SPOUSE FIRST", WHAT SHOULD WE DO?
SECURE PERMISSION TO CONTACT THE PT AFTER 48 HRS TO GO OVER OPTIONS AGAIN. BE SURE TO GET PREFFERED METHOD OF CONTACT.
**** WE WILL BE INTRODUCING DR MAULE'S 2x2x2x METHOD. ******
HOW SHOULD WE PRICE QUOTE PT'S WHEN THEY HAVE 2 INSURANCES?
WE SHOULD BE GOING BASED OFF OF PT'S PRIMARY INSURANCE. 2ND INSURANCE SHOULD BE DROPPED FROM CHART BEFORE QUOTING. PT WOULD BE RESPONSIBLE FOR PT PORTION AND WOULD BE REIMBURSED IF 2ND INSURANCE ENDS UP PAYING TOWARDS TX.
EXPLAIN THE NP PROTOCOL
SEAT PATIENT
REVIEW MED HX
REVIEW DENTAL HX
GET DR
DR EXAM
PRESENT TX PLAN WITH: "THE NECESSARY RECOMMENDED TX FROM THE DR IS..."
FINANCES