Whats the View
Bene has questions about their premium, what view would you access
Premium Summary
Bene was admitted to the hospital February 3rd and released March 15th, what is the amount owed for the stay
$1736 part A deductible
what field shows what the bene owes
patient responsibility
What is the insurance that pays AFTER Medicare
Supplemental Insurance
Level One of an appeal is called
Redetemination
Which view provides information about Medicare Secondary Payer and Supplemental Insurance
Other Insurance View
What is the late enrollment penalty for a bene that enrolls late in their Part B premium
10% for every full 12 month period they were eligible to enroll but did not
Bene has question about a claim. Date of service is February 16th. What is the date range for the search
Februay 1st-28th
True or False. If the Bene has an open working aged MSP that needes to be closed, they would need to contact the BCRC to update that record
False, a simple termination can be done by a Claims CSR
Correct way to file an appeal
Follow the instructions on the MSN
Bene has questions about a bill he receivec, what view would you access to assist
Claims
Bene was admitted to the hospital February 3rd and released March 15th.They were readmitted on May 3rd and Released May 20. What is owed for the hospital stay?
$0, same benefit period
True or False. You can read the provider message to the bene
False. you can read the MSN message
Working-Age, Disability, Workers comp are examples of what
Medicare Secondary Payers
Patient feels like they are being discharged too early, what script would you use to assist them
Quality of Care
Bene wants to know the last time they had their annual visit, what view would you access
Preventive Services
Standard Part B premium
$202.90
Claim was denied, but patient responsibility shows $0, what information do you tell the bene
Claim was denied, but they are responsible
Bene whats information how to set up his supplemental insurance. What script would assist the CSR with that information
Supplemental Crossover of Claims
Patient feels like they are being discharged too early from the hospital, who should the patient contact?
Quality Improvement Organization or QIO, Or
BFCC-QIO
CSR needs to update the Bene MSN format,
Demo Compare
Bene has less than 30 working credits, how much is the Part A premium
$565
After locating a claim, what button do use to get more info
Load Claims Detail
Medicare Savings programs that helps pays Part A and Part B Premiums and other out of pocket expenses
Qualified Medicare Beneficiary
Bene wants to appeal a claim decison, how long do they have to file an appeal?
120 calendar days from the date the bene receives the MSN