Insurance
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100
I am a new patient scheduling an appointment when should my insurance type and ID number be collected?
What is at the time of scheduling?
100
We have several patients each day who do not confirm their appointment via automated reminders, at what point should we manually call to confirm the appointment?
What is no less than 2 days before the appointment date?
100
I am a basic Medicare (red, white, and blue card) patient and I have a refraction at my appointment with no vision insurance. When do I pay my refraction fee?
What is at check out day of the appointment?
100
My patient's consent forms and health questionnaires should be scanned when they're a _______ and/or once every _____ since the last updated scan.
What is new patient or once a year?
100
Charges and collected patient payments should always be posted ___________
What is same day?
200
I am a patient using my medical insurance for an appointment which copay category should I use to tell me how much I can expect to pay at my appointment?
What is a specialist copay?
200
New patients calling for an appointment with no preference of day, time, or doctor should be offered an appointment for ______
What is first available?
200
Co- insurance percentage for Medicare (red, white and blue cards) patients.
What is 20%?
200
My patient's insurance card should be scanned when they're a _______ and/or once every _____ since the last updated scan.
What is new patient and every year?
200
I am a patient with Medicaid insurance, how much should I pay at my appointment?
What is zero dollars or the Medicaid determined copay? (usually about $1.00)
300
The product type of insurance Humana PPO would fall under.
a. Commercial
b. Blue Cross
c. Medicaid
d. Medicare Replacement Plan
What is Medicare Replacement Plan?
300
The base line percentage we aim for all doctor's schedules filled, 3 days or less out.
What is atleast 80% full?
300
The amount of $233.00 in regards to healthcare and patient responsibility in the year of 2023
What is 2023 Medicare Deductible?
300
A patient's appointment was at 10:00 AM and it's now 10:30 AM, they haven't shown up. Next steps should be?
What is, mark them no show and call the patient ASAP?
BONUS: If the patient shows up at 10:31 AM what should the next steps be?
300
The patient has $50.00 remaining in their 2023 Medicare Deductible, the Medicare Allowable for today's visit is $125.00, how much will the patient pay today?
What is $50.00?
400
A set amount determined per insurance plan in which the patient pays for covered healthcare services before your insurance plan starts to pay their portion.
What is a deductible?
400
I have been referred to Harman Eye by my OD who is not an AVP doctor, I have had Cataract surgery and finished my POP appointments and cleared to return to normal yearly visits, what are the next steps for me?
What is return to the OD I was referred by for yearly visits? We cannot keep the patient for yearly visits.
400
List at least 3 appointments types that are NOT billed to insurance (either self pay or zero charge).
Glasses Check, Post Op visit, Contact lens check, Dry Eye treatments, Lipiflow, and Lasik Eval.
400
A patient comes in with Anthem Commercial insurance through their spouse's employer. Whose name should be listed in the insurance information section?
What is their spouses name?
400
The length of the Post-Op period after cataract surgery, when all visits related to surgery are covered under the surgery cost.
What is 90 days?
500
I have three insurances: Medicaid, Anthem Federal, and Medicare (not in this particular order). I am 70 years old and retired. What is the correct order of my insurances primary-tertiary?
What is Medicare, Anthem, and then Medicaid?
Medicaid is always last resort payor when other insurances are active.
500
I am a patient and after my appointment the doctor noted they'd like me back in 6 months for another visit. When should that visit be scheduled?
What is at check out, same day?
BONUS: IF the patient cannot schedule the next appointment at that time after we have asked them to, what are the next steps to take?
500
The amount of time you're allowed to void a patient's payment in Transaction Express before an official refund needs to be issued.
What is same day (DOS)?
500
The two MIPS requirements the front desk is responsible for documenting properly.
What is acknowledgement of email vs. no email and referral sources?
500
Per AVP policy, do we bill medical insurances for refractions as a base line policy?
No, all patients should pay their refraction cost day of the appointment when medical insurance is billed.
BONUS: what two instances would be exceptions to this rule?