Full Cycle Biller Expectations
Patient Accounts
Denial Reasons
Spooner
Movement Plus
100

How often is a Full Cycle Biller expected to review their AR report?

What is weekly (at a minimum)

100

What is the patient statement line phone number and email address?

What is 480-551-4977 and billing@spoonerpt.com

100

What does denial code 197 mean?

What is no authorization

100

What is the Tax ID Spooner bills under?

860722194

100

Who is the Member Therapist?

What is Robbie Hortsman

200

Name the top three tasks that take priority over others?

What is "Termed Coverage, Max Benefits, Authorization"

200

What company do we use for third party collections?

What is Transworld or TSI

200

What does denial code 18 mean?

What is exact duplicate

200

How much does a therapist get paid for a Spooner Employee Benefit visit?

What is $88.00

200

Name the new plans that were just introduced

What is Access, Achieve and Excel

300

Name three facts you are expected to know about your payer.

What is referral/script requirements, prior authorization guidelines, appeal process, timely filing limits, contact info for rep (if there is one), necessary forms, eligibility, web portal, fee schedule

300

How many statements does a patient receive before being sent to collections?

What is three statements

300

What denial code matches with "Non-Covered charge(s). At least one remark code must be provided"

What is 96

300

On average, how much outstanding AR does Spooner have?

What is 10 million

300

What is the Movement Plus phone number?

What is 480-398-0211

400

After doing anything in an account what is the most important thing you need to do?

What is document the what, why, who and how

400

Map out how you log into the Patient Statement Line

What is press *96 then # and select 2#
400

What does denial code OA 23 mean?

What is the impact of prior payer(s) adjudication including payments and/or adjustments

400

How much is a full visit on the Non-Member Pricing fee schedule?

What is $175.00

400

How many visits comes with the Excel Membership?

What is 5 visits

500

How often are you expected to pull and post your zero pays?

What is daily

500

How much outstanding patient balances does Spooner have?

What is about $700,000
500

What does denial code 29 mean?

What is "The time limit for filing has expired"

500

Name two of the four items a patient must supply when applying for Financian Hardship Assistance through Spooner

What is W2, Food stamp receipts, Unemployment pay stub and current pay stub 

500

What is the vision for Movement Plus?

To remove barriers between patients and their healthcare, become primary musculoskeletal providers and provide comprehensive care