Tebra Office Operations
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Questions and Answers

What is the primary role of chart prep?

  • Prepping superbills and updating financial forms (correct)
  • Verifying patient insurance
  • Scheduling follow-up appointments
  • Checking patient balances
  • What is an important aspect of the check-out process?

  • Scheduling follow-up appointments (correct)
  • Collecting patient payments
  • Verifying patient insurance
  • Updating patient charts
  • What is included in the new patient packet?

  • ID cards and year of signing documents (correct)
  • Medical history and treatment plans
  • Superbills and patient charts
  • Insurance cards and financial forms
  • What is the purpose of checking patient balances?

    <p>To collect patient payments</p> Signup and view all the answers

    What is the patient liable for if they arrive more than 15 minutes late for their appointment?

    <p>$150 fee</p> Signup and view all the answers

    What is part of the opening protocol?

    <p>Logging into Tebra</p> Signup and view all the answers

    Who is responsible for relaying the message to the doctor in case of a same-day cancellation?

    <p>Front Desk</p> Signup and view all the answers

    What is the purpose of verifying insurances during patient check-out?

    <p>To ensure accurate billing and payment</p> Signup and view all the answers

    What is the importance of chart preparation?

    <p>To ensure patient charts are ready for the next day's appointments</p> Signup and view all the answers

    What is included in the check-in process?

    <p>Providing great customer service</p> Signup and view all the answers

    Who has access to edit COB during insurance verification?

    <p>Patient Liaison or Office Manager</p> Signup and view all the answers

    What should you tell a patient who asks if they will be charged a fee for cancelling?

    <p>It's up to higher management to decide</p> Signup and view all the answers

    What is part of the closing protocol?

    <p>Logging out of Tebra</p> Signup and view all the answers

    What is the fee for surgery cancellation?

    <p>$350</p> Signup and view all the answers

    Where can a patient's balance be found on the cash sheet?

    <p>Under each patient's account</p> Signup and view all the answers

    What is the main goal of filling out COB during patient check-out?

    <p>To ensure accurate billing and payment</p> Signup and view all the answers

    What is co-insurance (coins) related to?

    <p>Insurance coverage percentage</p> Signup and view all the answers

    Why is it important to ask the patient the reason for cancellation?

    <p>To decide if a fee should be charged</p> Signup and view all the answers

    What is the purpose of logging in to Availity?

    <p>To verify patient insurance</p> Signup and view all the answers

    What happens when a patient cancels an appointment?

    <p>The schedule block is automatically removed</p> Signup and view all the answers

    What is the purpose of the Fax Agent?

    <p>To upload faxes to Tebra</p> Signup and view all the answers

    Why is it important for the front receptionist to give their full attention to answering and handling telephone communications?

    <p>To provide excellent patient care</p> Signup and view all the answers

    What is the purpose of the cash sheet in the patient check-out process?

    <p>To track patient payments and balances</p> Signup and view all the answers

    What is the purpose of posting to billing in the patient check-out process?

    <p>To finalize patient billing and payment</p> Signup and view all the answers

    Study Notes

    Tebra

    • Tebra login is required
    • Tebra allows sending messages to other personnel in the office

    New Patient

    • Obtain necessary information when a new patient calls:
      • Patient's name and contact details
      • Insurance information
      • Medical history
      • Appointment scheduling

    Opening/Closing Protocol

    • Opening protocol:
      • Perform specific tasks when opening the office
      • Prepare for the day's appointments
    • Closing protocol:
      • Perform specific tasks when closing the office
      • Ensure all tasks are completed before leaving

    Check-in/Check-out

    • Check-in:
      • First point of contact for patients
      • Provide great customer service and a smile
      • Verify patient information and insurance
    • Check-out:
      • Last point of contact for patients
      • Schedule follow-up appointments
      • Update patient records

    Chart Prep

    • Chart prep is essential for patient charts and next day's appointments
    • Tasks include:
      • Prepping superbills
      • Updating COB and new patient packets
      • Preparing financial forms and insurance/ID cards

    Cash Sheet

    • Cash sheet format:
      • Patient balance is listed under each patient's account
      • Credits are in parentheses
    • Notate any credits on the cash sheet

    Co-insurance

    • Co-insurance (COINS) involves:
      • Verifying patient insurance information
      • Updating patient records
      • Notifying patients of any changes

    Pre-authorization

    • Pre-authorization process:
      • Login to Availity
      • Verify patient insurance information
      • Obtain pre-authorization for procedures

    Fax Agent

    • Fax agent tasks:
      • Login to Weave desktop application
      • Upload fax/PDFs into Tebra
      • Verify uploaded documents

    Post to Billing

    • Post to billing tasks:
      • Verify patient information and insurance
      • Update patient records
      • Prepare claims for billing

    Schedule Blocks

    • Schedule blocks:
      • Use colors to indicate different appointment types
      • Ensure accurate scheduling and blocking

    Telephone Handbook

    • Telephone handbook guidelines:
      • Answer and handle phone calls promptly
      • Provide excellent customer service
      • Verify patient information and insurance

    Flag Colors

    • Flag colors:
      • Use colors to indicate different patient flags
      • Ensure accurate flagging and follow-up

    Cancellation Policy

    • Cancellation policy:
      • Patients will be charged a $150 fee for:
        • No-shows
        • Cancellations within the 24-hour window
        • Arriving more than 15 minutes late
      • Surgery cancellations will incur a $350 fee
      • Patients must cancel appointments before the 24-hour window
      • The front desk relays cancellation information to the doctor via EMR

    Insurance Verifications

    • Insurance verifications:
      • Patient liaisons or office managers should have access to COB
      • Verify patient insurance information and update COB

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    Description

    Learn how to perform various office tasks using Tebra, including sending messages, printing patient statements, and checking patient balances.

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