Cologuard
PO
WQ
Insurance
Fun Facts
100

When completing a re ship, it is important for you to verify this with the patient.

Patients address

100

This is the CPT code used when referencing the Oncotype Breast Recurrence score test, also known as IBC.

81519

100

This is the only WQ that you are expected to work 13 tasks per hour.

WQ 898

100

These are the dates you use when terminating existing coverage a patient no longer has.

1/1/2020-1/1/2020

100

This is how long Exact Sciences stores patient information.

10 years

200

When mailing a patent their results, you must check here before completing the CRM.

Specimen Inquiry

200

What is it called when a patient has more than 1 primary tumor, and a provider requests to test a sample from each tumor.

Multiple Primaries

200

This WQ requires an OB call to the provider's office to collect missing information for a PA.

WQ 2342

200

This is the Epic status you will see when a FA application has been sent, and we are waiting for the application to return.

Pending Application

200

This is the year when Exact Sciences was founded

1995

300

This is the Acronym used during a recollect when the stool exceeds the allowable weight.

SCNBP3

300

This is what it is called when the test is ordered by the patient’s physician at least 14 days following discharge from hospital and the DOS must be the date test was performed.

Medicare 14 day rule.

300

In WQ 2147, if the patient provides a verbal ABN choice these are the 2 places you MUST document that.

Registration under Documents section and ABN Verbal Option CRM

300

This is what you will see in registration, chart review, and/or NBA when there is an agreement between Exact Sciences and a patient’s Health Organization.

Client Bill

300

This is the address you will use when directing a caller to mail something to Exact Sciences

1 Exact Lane, Madison, WI 53711

400

What are the medicare guidelines for coverage?

Age: 45-85

Frequency: 1 every 3 years

Patient must be at average risk for colorectal cancer



400

If the most recent message in an eMPA says 'Payor Review' what will the status of the referral be?

Pending Review

400

What is the process in WQ898 when there is no valid insurance?

Mark it as self-pay and make a guarantor note.

400

Post result on a call when unable to verify in RTE or a portal what is the correct process?

Manually verify, submit the claim, and advise the patient to reach out to their coverage.

400

Who are two celebrities that have partnered with Exact Sciences? 

Lil Jon

Harry Connick Jr

Katie Couric

Carlos Ponce