MetaPhy Client Medicare Insurance

Which insurance will cover CCM services?

Traditional Medicare

Supplemental

Medicare Advantage

DUAL-SNP

How many digits are there in the Member ID # for Medicare

10 for Part B

An EOB stands for what in insurance?

Explanation of Business

Explanation of Balance

Explanation of Benefits

If a patient receives a Statement, is their account is subject to Collections?

Yes

Should the patient call you when they receive an EOB or a Patient Statement?

Yes

What type of insurance companies have Medicare Advantage plans?

BCBS

Cigna

United Healthcare

All of the above

Give 3 items needed for the practice to verify a patient's insurance?

Member ID

Name of Insurance Company

Claims Mailing Address

All these above

None of these

The OIG is within what health department?

State and Territorial Health Departments

Health and Human Services

State Health Department

How many conditions should you have to receive CCM Services?

None

2 or more

For which items do you notify your Team Lead?

If your patient is in Hospice

If your patient is inpatient in the hospital

If your patient is in a SNF

All of the Above

What question should you ask your patient each month if you are on Follow Up team?

For any insurance changes

If they are receiving CCM services from another provider

If they have any other equipment from another provider

All of the Above

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