Insurance
NAME ONE ADDITIONAL INFORMATION NEEDED FOR A WORK COMP ACCOUNT?
WHAT IS-
1)CASE MANAGER AND/OR ADJUSTOR
2)TPA IF VALID
3)DOI
4) CLAIM#
WE CAN FIND A JOT FORM LINK SUBMISSION ON YOUR _____ _____ PAGE UNDER FRONT ________ ________ LIBRARY -> FORM LINKS.
WHAT IS-
SOC TEAM, OFFICE COORDINATOR
WHERE CAN YOU SEE THE HISTORY OF TEXT MESSAGES SENT FROM RAINTREE?
WHAT IS-
CHART -> RT CONNECT HISTORY
OR
COMMUNICATION LOG
WHAT DOES XXGEN AND XXFED STAND FOR ON THE SCHEDULE? AND NAME ONE TYPE OF INSURANCE THAT CAN BE SCHEDULED IN EACH SPOT.
WHAT IS-
XXGEN stands for the general hour. You may schedule workers comp, self-pay, general, and MAP follow ups/evals on this.
XXFED stands for our federal hour. You may schedule Medicaid and Medicare follow ups/evals on this.
WHAT HAPPENS IF YOU DO NOT COMPLETE THE MONTHLY FOCUS 15
WHAT IS-
PAY WILL BE SUSPENDED AND YOU WILL BE UNABLE TO LOGIN INTO RT.
WE USE FEDNP WHEN WE HAVE A _____ PLAN OR A _________ PLAN PRIMARY TO A ______ PLAN.
WHAT IS-
MAP, COMMERCIAL, FEDERAL
WHO IS RESPONSIBLE FOR UPDATING THE MAPPING SYSTEM?
WHAT IS-
THE CLINCIAN IS RESPONSIBLE FOR MAINTAINING THEIR INFORMATION
WHEN A FAXED REFERRAL IS RECEIVED IN___ ____, WE SHOULD MOVE IT TO ____?
WHAT IS-
DOC ROUTING, JOURNEY
SEM STANDS FOR _____ ________ ______, IT MEANS TO PROVIDE ______, COMPLIANT, AND HIGH-QUALITY CARE WHILE INCREASING ACCESS TO THE COMMUNITIES WE SERVE.
WHAT IS-
SCHEDULE EFFICIENCY MODEL, EFFICIENT
AFTER ___ DAYS A POC IS CONSIDERED NON COMPLIANT?
WHAT IS-
30
WE ENTER PATIENTS' INSURANCE CARD IN THE _______ TAB AND ID IS ENTERED UNDER ______ _________.
WHAT IS-
INSURANCE, PATIENT DEMOGRAPHICS
WHERE IS THE START PROGRAM ON THE SOURCE?
WHAT IS-
PROFESSIONAL DEVELOPMENT PAGE
WHEN SCANNING THE PHI FORM INTO A PATIENTS ACCOUNT, THE CATEGORY IS _________ AND RENAMED ___.
WHAT IS-
MISCELLANEOUS, PHI
NAME 5 INSURANCE PLANS THAT ARE SCHEDULED AS EM/VM.
WHAT IS-
TRADITIONAL MEDICARE, TRICARE, UHC COMMUNITY PLAN, BLUECARE, AMERIGROUP
IF YOU SCAN INCORRECT PATIENT INFORMATION INTO ANOTHER CHART, YOU WILL PUT IN AN ___ Ticket BY SELECTING -> I'M FACING AN ISSUE ->_____ PRIVACY -> SELECT _____ ERRORS/DUPLICATE ACCOUNTS.
WHAT IS-
IT, HIPPA, SCANNING
WHEN EDUCATING BENEFITS TO PATIENTS WE NEED TO KNOW ___ INSURANCE OR ____, DEDUCTIBLE AMOUNT, DEDUCTIBLE _____, AND PATIENT RESPONSIBILITY.
WHAT IS-
CO, COPAY, MET
YOUR WEEKLY OC AGENDA IS FOUND ON YOUR ____ PAGE UNDER _____.
WHAT IS-
SOC, WIKIS
WE RUN _____ _______ FOR AUTHORIZATION ISSUES EVERYDAY WITH DOS FROM _____ OF THE YEAR - DOS TO _____ DATE.
WHAT IS-
CHARGES HOLDING, BEGINNING, TODAYS
WHAT ARE THE STEPS AND CODES TO BLOCK A CLINICIAN SCHEDULE IN RAINTREE?
WHAT IS-
Right click and highlight the area needed to reserve time on the clinicians schedule and use the OUT, MTG, STAFF or ADMIN codes in the type box. You can also leave a comment down in the box to give a description as to what the blocked out time is being utilized for.
WHO IS RESPONSIBLE FOR SCHEDULING INTERPRETERS AND WHERE DO YOU FIND ADDITIONAL INFORMATION
WHAT IS-
THE CLINIC IS RESPONSIBLE FOR SCHEDULING THIS AND ADDITIONAL INFORMATION UNDER QUALITY ASSURANCE
WHAT IS THE DIFFERENCE BETWEEN A TRADITIONAL MEDICARE VS A MAP PLAN
WHAT IS-
Traditional Medicare- Red, white, and blue card. Patients can have Medicare if over 65 or due to a disability. Patients must have part B, they can have parts A and B or just part B to be covered for therapy.
MAP- Medicare Advantage Plan, private health plan that patients choose. MAP plan is Medicare combined with another insurance in the card. If a patient has an MAP we would not bill Medicare. This will be the patient’s primary insurance.
WHERE DO YOU FIND PINNED PAGES?
WHAT IS-
CLICK ON YOUR NAME, THEN GO TO PINNED
TO DEACTIVATE A PATIENT WALLET, WE GO TO PATIENT ______ -> ACCESS PATIENT ______ -> CLICK ON THE CARD -> UNCHECK ______ BOX OPTION.
WHAT IS-
FILES, WALLET, ACTIVE
WHEN SCHEDULING THESE TYPES OF APPOINTMENTS, ______ TRAINING, DRY _____, FCE, AND ____ ______, THEY CAN BE SCHEDULED IN ANY HOUR SLOT WITHOUT IMPACTING SEM BILLING.
WHAT IS-
SKILLED, DRY NEEDLING, WORK CONDITIONING
WHEN AN AUDITOR COMES TO YOUR CLINIC, YOU ASK FOR THEIR ________ AND REPORT IT TO ______ ________ FOR TRACKING.
WHAT IS-
IDENTIFICATION, CLINCAL SERVICES