Inbound Scheduling Flow Inbound Scheduling 2.0 Scheduling Scenario Insurance Terms and Type Insurance Handling
200
3 Opening Spiel
How many opening spiel you have to deliver before you say the ghost spiel?
200
FALSE
TRUE or FALSE: Lift assistance is a transportation service.
200
Minus 200 points
BOOM!
200
HMO
It is a type of insurance that provides health coverage for a monthly or annual fee. Patients must select a Primary Care Physician.
200
3 business days out
How many days out should we schedule our patient if they have HMO and no auth on file?
300
TRUE
TRUE or FALSE: No need to confirm all the phone numbers on file. We just need the patient's best contact number.
300
You win 300 points.
Bonus
300
Send an email to the Advocacy team. Obtain the fax and contact number where the Lien form will be sent.
What do we do if an Atty is calling to ask for Lien forms for Personal Injury cases
300
Worker's Comp
Double Points: A form of insurance providing wage replacement and medical benefits to employees injured in the course of employment in exchange for mandatory relinquishment of the employee's right to sue their employer for the tort of negligence.
300
Chart notes Needed
This is the chart notes disposition you use if patient has PPO and no auth and clinicals on file
400
For us to send the summary of your appointment
What's the reason why we have to ask for the email address of our patient?
400
Manually add 15 minutes.
You add this when scheduling patients who need wheelchair access.
400
FALSE
TRUE or FALSE: We put order notes for general inquiry
400
Medicare
A federally funded plan that senior citizens become eligible for at the age of 65; fully disabled beneficiaries may also qualify. Some other eligible individuals are under the age of 65 who are fully disabled & receive state disability for a period of at least two years.
400
Do not schedule.
If a patient called in today, 11/14/2022 and will schedule and MRI for MEDI-Cal, when should we schedule the patient? No auth on file.

DOUBLE Points
500
State the street and city address
What's the minimum requirement when asking for the Dr's address?

Double or nothing.
500
Lift Assistance Hold Code
You add this when scheduling patients who need wheelchair access and lift assistance
500
1. Any physician requesting for the report
2. Insurance Company
3. Worker's Compensation
4. Attorneys or Law Firms for Personal Injury
Reports or Results can only be sent to whom? Provide 1 answer, get 100 points, 2 answer, 200 points. 3 answer, 300 points. Get all 4, 500 points
500
TAR - Treatment Authorization Request
When Medi-Cal is primary it requires a ______ for MRI, which can sometimes take as long as 6-8 weeks to obtain.
500
Schedule the patient 4 hours out.
A patient called in to schedule a STAT Exam. She has PPO Insurance and no auth on file. How many days out should we schedule the patient?

TRIPLE Points.






Scheduling and Insurance

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