Insurance
Authorization
MISC 1
Appointments/Scheduling
MISC 2
100

Your patient presents you with Medicare as well as Tenncare secondary. When loading the B payer you would select _____ as the payer and use patients ____ as the ID number.

What is Medicaid, SSN?

100

If more time is needed when working a group open task a _______ ______ should to be requested.

What is date extension?

100

You are scheduling a re-evaluation for a workers compensation patient. You will use ____.

What is RW?

100

During live registration of a ASPP patient you must print an ____ ____ _____ _____ and collect ____ dollars for the initial evaluation.

What is Advanced Self-Pay Pricing Waiver; 110?

200

When scheduling a commercial UHC patient it is important that you obtain the _____ _____ and complete a ___ ____ ___ on the ____ site.

What is group number; quick group check; Optum?

200

When One Call provides continued authorization it is imperative to check the ____ ____ visits as they often reduce the visits based off ______ visits from previous authorization.

What is total approved; remaining?

200

You are scheduling a Dry Needling only evaluation for a patient. Your appointment type would be ____.

What is ECDN?

200

This is the timeline you use in attempts of obtaining a signed POC since the initial electronic fax.

What is 7; 10 (day19); 7 (day26)?

300

WC patient has used all of the approved visits. CM calls you and provides additional sessions over the phone. You will use the ___ ____ form to build your authorization. You will follow up with ____, if necessary to ensure they have record of these newly approved sessions.

What is verbal authorization; TPA?

300

You have a patient who is wanting to start our Skilled Training program, but is wondering about pricing. You educate them that it will be ___ dollars for ___ minutes and ___dollars for ___ minutes.

What is $45; 30; $90; 60?

300

You have a potential patient come in who has BCBS and is wanting to schedule an appointment without an MD referral. You are not able to schedule them. True or False?

What is False?

400

There are 3 types of tasks within Raintree. These include ______, ______ and _____  _____  _____.

What is POC, AR and Work Comp Documentation?

400

Your patient is a initial skilled training patient. You will use ____.

What is ECST?

400

At month end you will finalize your ____ for the month by scanning in the ____ ____ ____ and ___ ____ ___ into the ____ ____ ____ of the month.

What is EOD; deposit log verification, validated bank receipts, last business day?

500

An Amerigroup patient has completed an evaluation and you schedule them for 12 sessions. You will submit the authorization request within ___ ____. Your next step is to ____ ____ _____ into ______ under ______ ______. You will follow up to confirm request was received with in _____ _____.

What is 24 hours, scan fax confirmation; documents; auth request; 24 hours?

500

You are scheduling a workers compensation patient for an initial evaluation for wound care. You will use ____ as the appointment type.

What is EWNO?

500

When setting up a Skilled Training account it does not require a ____ ____ . When setting up the insurance you will load it in as a __ ____, using _____ as the code and then _____ it to the corresponding _____.

What is MD Script; P Payor; 00001; linking; case?