Emails
Call Cap
Processes
Insurance & Self-Pay
Visit Types
100

Who do you email when a payment needs to be removed?

Pending Charts

100

Where do you add the FAP in GoRev?

Secondary policy

100

Your patient has a short-term benefit plan. What is his visit type?

ER-FFS or MSE (if he doesn't accept treatment)

200

Who should always be copied on emails to home office?

The facility supervisor

200

Fill in the blanks "Our self-pay rates start at $___. The average patient pays between $___ and $___. The cost varies depending on ______ and ______. We will ______________".

$199, $300-$400, severity and treatment, keep you informed of the cost before moving forward. 

200

When do you offer the UVB?

After you've verified the patient is active. 

200

A patient checks in for chest pain and is taken straight back. After he's stable, you determine he has Tricare and can't afford treatment. The doctor states he will treat this patient at no cost. What is his visit type?

ER-FFS

300

What is the proper subject format when emailing the home office?

"Facility Name, MRN, DOS 'XX.XX.XXXX'"

300

What is the cost of a 72 hour return case rate?

1/2 of the assigned case rate. (Not the case rate on the day the patient originally came in)

300

Your patient is employed at Complete Care. She carries Cigna insurance through her spouses employer. What is her visit type?

ER-INS

400

A patient calls and requests their work excuse to be emailed to them. What steps do you follow BEFORE pressing send?

Verify name and DOB, verify person calling is on release of information, encrypt the email

400
A patient calls and states they were seen the day before for abdominal pain and they need their records sent to their PCP for follow up. What are your next steps?

After verifying name and DOB, print out patient's transition chart and any labs, radiology or EKGs and fax to PCP. 

400

Your patient is employed at Complete Care. She carries Medicare. What is her visit type?

Employee/Dependent

500

After you've collected the $200 UVB deposit and registered the patient, what is your next step?

Email pending charts with patient's insurance info. 

500

A patient was involved in a MVA and carries Medicare. What forms do you send them?

Motor Vehicle/Liability & Self-pay registration form.

500

A patient was in his company truck when he was involved in a car accident. What is the visit type?

If the they were on the clock, it will be WKC. 

If they were not clocked in and just driving, it's a MVA.