Podcast
Questions and Answers
What is the primary role of chart prep?
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?
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?
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?
What is the purpose of checking patient balances?
What is the patient liable for if they arrive more than 15 minutes late for their appointment?
What is the patient liable for if they arrive more than 15 minutes late for their appointment?
What is part of the opening protocol?
What is part of the opening protocol?
Who is responsible for relaying the message to the doctor in case of a same-day cancellation?
Who is responsible for relaying the message to the doctor in case of a same-day cancellation?
What is the purpose of verifying insurances during patient check-out?
What is the purpose of verifying insurances during patient check-out?
What is the importance of chart preparation?
What is the importance of chart preparation?
What is included in the check-in process?
What is included in the check-in process?
Who has access to edit COB during insurance verification?
Who has access to edit COB during insurance verification?
What should you tell a patient who asks if they will be charged a fee for cancelling?
What should you tell a patient who asks if they will be charged a fee for cancelling?
What is part of the closing protocol?
What is part of the closing protocol?
What is the fee for surgery cancellation?
What is the fee for surgery cancellation?
Where can a patient's balance be found on the cash sheet?
Where can a patient's balance be found on the cash sheet?
What is the main goal of filling out COB during patient check-out?
What is the main goal of filling out COB during patient check-out?
What is co-insurance (coins) related to?
What is co-insurance (coins) related to?
Why is it important to ask the patient the reason for cancellation?
Why is it important to ask the patient the reason for cancellation?
What is the purpose of logging in to Availity?
What is the purpose of logging in to Availity?
What happens when a patient cancels an appointment?
What happens when a patient cancels an appointment?
What is the purpose of the Fax Agent?
What is the purpose of the Fax Agent?
Why is it important for the front receptionist to give their full attention to answering and handling telephone communications?
Why is it important for the front receptionist to give their full attention to answering and handling telephone communications?
What is the purpose of the cash sheet in the patient check-out process?
What is the purpose of the cash sheet in the patient check-out process?
What is the purpose of posting to billing in the patient check-out process?
What is the purpose of posting to billing in the patient check-out process?
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
- Patients will be charged a $150 fee for:
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.