Registration and PACC
Who is the Guarantor
The person that is ultimately responsible for paying the patient’s bill
What does Medicare Part A cover?
Who receives the
Important Message from Medicare?
All Medicare beneficiaries admitted as in patients.
What does NOA stand for?
Notice of Admission
What is the Advance Beneficiary Notice?
ABN
What is a Medicare Advantage plan?
A type of Medicare health plan offered by contracting private companies, give all Part A and Part B benefits.
What flag do we place when the patients need a urgent call back?
Priority - Phone follow up
What is the Medicare B Part cover?
Outpatient Care and doctors' services
What is the meaning of acronym OCCM?
Office of Contact Center Management
Where do you document surgical authorizations in EPIC?
Auth/Cert
What is the meaning of acronym AIDET?
Acknowledge, introduce, duration, explanation, and thank you.
Who is an Oncologist?
A physician who specializes in the diagnosis and treatment of cancer.
When Patients call, what Information do we need to search patient in Epic?
Full name and date of birth.
What is a Deductible?
A fixed sum that a beneficiary must contribute towards the cost of their health care before insurance benefits begin.
What patient is under the age of 18, who is placed under the Guarantor?
Parent or Legal Guardian
What is RST HOSPITAL NPI?
1841266194
What the difference between POS 11 and POS 22?
POS 11- Bills for doctor services only
POS 22- Bills for doctor and Hospital
What 3 services does Ancillary care cover?
Who is the Supervisor for the PACC phone team?
Moe (Manize Altidor)
Who is the subscriber?
The individual who carries the insurance coverage.
What is the
Emergency Medical Treatment and Active Labor Act?
EMTALA
Who is the Supervisor for the Surgery Non-Complex Team?
Annie Akram
What is Group Health Plan?
GHP
What is Outpatient Care?
Treatment received by a patient in a hospital or clinic. The patient does not require hospitalization.
What is the correct greeting we provide patients when answering the phones?
Thank you for calling Mayo clinic this is (name) one a recorded line. How may I assist you today?
What is a co-pay?
A fixed amount the beneficiary pays for health care services, regardless of the actual charge; the amount is designated as the patient’s responsibility.
What is the Health Insurance Portability and Accountability Act?
HIPAA
What are Mayo Clinic Values?
RICH TIES
What is the meaning of ICN?
Individual Case Negotiation
What is Benefit Verification?
Validating with third party payors that a given plan is active and ascertaining the patient’s deductible, co-pay, limitations and estimated cost.