FS Intake Trivia
FS Intake Trivia Challenge
Test your knowledge on FS intake processes with this engaging quiz! Designed for professionals in the field, it covers essential topics that are pivotal to ensuring effective patient care and accurate payor interactions.
Join now to:
- Enhance your understanding of payor communication.
- Identify common reasons for service denials.
- Learn best practices for verification and eligibility requests.
What payor is loaded when you have exhausted your options in obtaining information from the clinic and/or patient?
Pending Payor Load/Verification
Self Pay Pending Insurance
Private Pay
COMM Self Pay
Services are denied for lack of information, that usually means we need to change the code being requested.
True
False
Patient services are being rendered in the patient's home, which verbiage should be used when requesting eligibility and benefits as well authorization?
Does plan cover compound medications administered through DME (implanted pain pump)?
Does plan cover home infusion therapy services, nursing services are involved?
Patient services are being rendered in the physician's office, which verbiage should be used when requesting eligibility and benefits as well authorization?
Does plan cover compound medications administered through DME (implanted pain pump)
Does plan cover home infusion therapy services, nursing services are involved.
If the prior verifier worked the account incorrectly, usually we just notate it already worked and close out the task.
True
False
The patient's plan termed, and a new insurance has been loaded. This is also an existing patient, which step should be performed before task is closed?
Flag the account
Create and a pending auth shell
Create credit rebill assignment
If a payor pushes back and states drugs are covered through the pharmacy, what would be your next steps?
Ask for name and reference #
Ask which dept process auth for drugs through the medical benefit that are not listed on the payor's auth list
Say thank you and end the call. Notate account and close task.
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