MISC
When do we send out GFE forms?
As soon as we schedule the appointment
How do you search for insurance?
Using the Payer ID Bonus: How do you look up insurance with no payer ID?
How do you see the entirety of the Pt Trans Fm?
Press clear under pt's name to see the account in full
The 105$ deposit fee is required with all “blank”
High Deductible Plans (high deductible is 1000$ and up)
You can add an insurance to any visit old or new.
False
If a new Pt comes in and is a foster child, where should you add them?
To the Foster Kids account
What are the steps to check eligibility for Medicaid?
Look it up on the website, upload it into the chart, verify that the health plan matches what we have entered, adjust the co-pay and health plan as needed, and update it into the visit.
How can you tell if a Pt has a credit?
You can see that it is a credit if it is red, has a negative, or if it is in parenthesis when taking a payment.
Any visit that has a description (ex. Ultrasound) in the provider box must have...?
A Billing provider, and a supervising provider if the billing provider is a NP or PA
A pt with restricted Medicaid can be seen by anyone if they are coming into Urgent Care.
False
Can Cash pay patients be seen with a balance?
No, they must pay off their balance before they are seen again. Unless they pay today's visit in full and they are on a payment plan for the past balance.
What does COB stand for?
Coordination of Benefits Bonus: What is one of the COB Rules?
Where can you find the reason for a balance in Trans Fm?
In the remarks column
What do you do if a Pt has no Proof of Insurance?
If a patient does not have an insurance card or verifiable insurance, the patient will need to pay for the office visit and other services such as labs and x-rays in full on the date of service. When we receive a card, we will bill it and give them a refund if needed.
You must have a specific reason to enter Med B as a secondary Insurance.
True
Specifically, where can I find the formula on how to set up a payment plan?
Billing and Collection Guidelines – Receptionist SharePoint
Do we take VA insurance?
We do BUT only if they have a pre-auth from their insurance. We can not get this for the pt. They must have this prior to their appt.
If you want to see the info from one visit, what button do you press?
F4
If a Pt presents you with out-of-state Insurance what is the rule?
Go by the patient’s address, if they have an out-of-state address, then you need to treat them as if they are self-pay patients. We will still bill their insurance if it’s in our network and refund them any money we receive from insurance.
You have to send the Mammogram Release form every time you schedule a Pt for a Mammogram.
True. You MUST send the release form so we can get access to their prior Mammos.
Bonus Points: What else MUST you do when scheduling a Mammogram appointment?
How much do we charge for Flight Physicals?
125$
Is the Subscriber's DOB required when entering Insurance?
Yes!!! Make sure the DOB matches the subscriber's DOB. If the subscriber is the patient make sure the Pt's demographics are correct as well.
How can you see what a patient's payment went towards?
You can use the show distribution button
Where can you find our most accurate prices for Labs?
On the Cash Price List linked on the Receptionist Share Point.
We can see a patient without a Government ID scanned in.
True! But we have to have an ID with their name, DOB, and photo of them or an ID with their name, a photo of them, and a birth certificate.