Commercial Insurance
Medicare
Medicaid
Forms/Consents
Price Estimations
100
Most commercial insurances can be verified using what website?
What is Availity
100
Questionnaire used to identify primary payer.
What is MSPQ?
100
Who is always the subscriber for Medicaid?
What is patient?
100
Every patient gets this form at each visit.
What is Admission & Treatment Consent?
100
All elective patients must pay at least ___ at the time of service.
What is 40%?
200
Explain the appropriate way to read an insurance card.
What is like a book. Left to right. Front to back
200
Who is always the subscriber for Medicare?
What is patient?
200
Like a deductible, this Medicaid plan requires a set amount to be paid by the patient each month before Medicaid will pay?
What is Medicaid Share of Cost (SOC)?
200
This form allows us to share information with other hospitals within the state of Florida who are also enrolled in the HIE?
What is Florida HIE?
200
This loan program is the last resort for the patient.
What is Clear Balance?
300
What do most commercial insurances require before services being provided?
What is authorization?
300
What is the most common format for Medicare subscriber ID's?
What is SSN + A?
300
If a patient has more than one insurance, when does Medicaid pay?
What is last?
300
What inpatient form notifies the Medicare beneficiary of their rights?
What is IMM?
300
In what field/location does the RQi est. ID # and the est. amount go?
What is Ins. 1 tab/under Ins. 1/Est. ID and Amount Fields
400
Second to the Subscriber ID #, what other ID # must be obtained?
What is Group Number?
400
How do you verify Medicare in the registration setting?
What is Cerner EEM?
400
If a Self-Pay patient presents for services, what insurance do you still check for?
What is Medicaid?
400
This form allows the patient to opt out of the AHS HIE.
What is the iNetwork Opt Out Form?
400
What two things are needed to complete a RQi price estimation?
What is insurance/payer info and CPT/Procedure codes.
500
What is important to remember about Commercial Insurance benefits?
What is that each plan is different
500
What is another name for Medicare Advantage?
What is Medicare Replacement?
500
What three ways can you verify Medicaid coverage
What is Cerner, Medicaid Web Portal, DCF Provider View?
500
This age group could qualify for a proxy revocation form:
What is 12-17?
500
All patients do what to their RQi estimations?
What is sign them?