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1
Who is ultimately responsible for the accuracy of the payment worksheet?
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2
If a 5:00pm eval pt has HMAA & they call the # on the back of their card to access their pt portion amount & HMAA is closed, what should the front desk do in regard to pt portions collection?
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3
In Hawaii what insurance companies are Medicaid insurance companies?
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4
What is the current protocol for Insurance - based Massage Therapy Claims/documentation in order to submit for secure reimbursement?
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5
What (3) questions must a pt (who is not a Medicaid pt) ask their insurance company at the time of the EVAL?
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6
In Hawaii what insurance companies are Medicaid insurance companies?
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7
Payment Worksheet: You have a New Eval. Pt has Ohana Insurance. Does this person need authorization?
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8
Prior to sending out a statement w/past due notice, what do you need to do on Heno?
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9
During a chart audit, you noticed a copay was not collected, besides verbally letting the front desk staff know, what else must be done in order to secure communication and follow up with the collection ?
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10
What Hawaii insurance companies require authorization prior to the Evaluation ?
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11
During a Chart Audit - what are 6 areas to audit?
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12
What Hawaii Insurance companies require authorization after the EVAL? And when should it be completed and faxed to insurance co for approval?
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13
What modifier(s) must be on a Medicare Claim that is an Evaluation?
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14
What is the Specific Wording which must be on WC/AUTO Claims (PT/OT/ST/MT) to avoid Denials?
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15
You have a Auto pt that you are going to gather the documentation for reimbursement. This visit is a PT evaluation. How do you handle the claim for billing ie: what 3 forms of documentation go into the envelope to mail to the AUTO claims dept?
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16
Prior to sending out a statement w/past due notice, what do you need to do on Heno?
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17
You are reviewing Encounters prior to submitting them into claims. You see the OT that day did CPT Code 97140 and CPT 97530 during the visit? Is a "59" modifier needed? If so where does it go (on the line with which code?)
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18
How often should EDI reports be cleared? Ie; The status of each EDI that is RED is reviewed & cleared once the rejection is evaluated & re-billed?
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19
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