Name one insurance that always requries a PCP referral before being seen.
What is Tri-care Prime, Cigna Healthsprings and AARP Medicare Complete?
100
When should authorization be submitted for new evals?
What is the same day as the eval?
100
Name one of the two manuals you should always have available for reference.
What is the OC Quick Reference Binder and the Raintree manual?
100
Give the goal for the Patient Unscheduled and Frequency report.
What is 80% or better?
100
What day do you want all of your patients scheduled by for the next week?
What is Wednesday?
200
Give the plan code for Aetna.
What is 55957 (Optum)?
200
Name the category do you scan in authorization you have received.
What is auth received?
200
Name the form you submit if you need an adjustment to your timecard.
What is time sheet correction form?
200
Where do you go to see your reports that come out on Thursdays?
What is bNet?
200
What appointment type should you not double together in any hour if at all possible?
What is Medicare?
300
If we do not have a set insurance code for the insurance type like Aetna or BCBS, how you select the correct insurance code
What is search by the PO Box to select the correct code?
300
Where do you check to see if UHC requires authorization?
What is the quick group check?
300
What system do you go to take a payment for a customer?
What is Zpay?
300
What is your goal for the email report?
What is 65% or better?
300
What is the eval type for a Commerical Patient needing physical therapy?
What is PTEVAL?
400
Name one thing you must fill out on the insurance tab when entering the patients insurance.
What is insurance code; effective date; relationship code; subscriber name, address, phone, DOB; subscriber ID; group number if that plan has one
400
Name one reason you would need to enter a dummy auth.
What is needing to track a hard stop visit limit and/or they do not require auth and they are an UHC or Aetna patient?
400
Name one thing every Medicare patient has to have in their paperwork or entered into Raintree that other patients do not.
What is a MSP and medication list?
400
What is your goal for the co-pay report?
What is 90% or better?
400
What should you do if you cannot find a spot for a patient on the therapist schedule but the patient cannot do any other time?
What is ask the therapist where/if they can work the patient in?
500
If a payer is not in the system, how would you get them added?
What is raintree payer request?
500
Explain how to enter a dummy auth using the quick key.
What is go to Patient Account;Insurance tab;Add Auth; Alt D;Enter requested info and hit Space bar (follow prompts);Add any additional data;Save (F10)***You will have to type in the case rather than use drop down menu.
500
Explain our self-pay option.
What is the patient can come in and be seen without going through their insurance. Their first visit would be $180.00 and each visit would be $90.00 thereafter.
500
What is your goal for the scrub report?
What is 40% or lower?
500
We should be getting all patients scheduled within what timeframe of receiving their referral or them calling to schedule?