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Insurance Billing
Workers Comp / claims FALL
| Question | Answer |
|---|---|
| What is the purpose of Workers Compensation? | - provide medical care to injured employees for prompt and maximum recovery - provide income to injured employees while they are unable to work - pay providers for medicals ervices rendered to the injured employee |
| What do Workers Compensation benefits include? | - medical treatment - weekly income replacement benefits for temporary disability - permanent disability settlements - rehabilitation treatments *** does not provide paid vacations/job interviews |
| Forms of Insurance Verification | - copy the insurace card - call carrier/go online to verify |
| What are the three different types of disability? | non-disablity, temporary disability, permanent disability |
| what is non-disability? | when the patient is treated and able to return back to work |
| what is temporary disability? | when the patient has injury/surgery that requires recuperation |
| what is permanent disability? | when the patient cannot return to their job |
| Patients who have workers comp insurance cannot be billed ofr anything, true or false? | true |
| when calling to verify insurace, what do you need to get? | the name of the person you are speaking to. "sandy" |
| how are hard copy/paper claims sent? how is electronic billing done? | hard copy/paper claims - through mail / US Postal Service electronic billing done via internet |
| Define audit | to examine claims for accuracy/completeness before it is submitted to the insurance company |
| What is a dirty claim? | claims that have mistakes on it, or something has been omitted |
| What do workers comp claims require that doctors document? | date the accident happened, how it happened, where it happened |
| When does the cycle of insurance start? | when verifying the insurance before the patient sees the doctor |
| the MBS should do what when taking a new patient? | - copy insurance card front and back - copy photo ID - take completed patient info papers |
Created by:
a.adams
Popular Insurance sets