ARI Boot Camp
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
Help!
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| show | Health Insurance Portability and Accountability Act
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| show | 49
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| show | 7
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| Where can you do multi-invoice FSC transfer? | show 🗑
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| show | Function 4, Activity O
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| How do you add or edit CSRS? | show 🗑
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| What function/action are for claims? | show 🗑
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| show | Function 13, Activity 5
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| show | Function 4, Activity O
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| What function/action do you use to make shell invoice? | show 🗑
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| show | Function 2, Actibity Z
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| What function/action are patient registration? | show 🗑
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| show | Provides managed care administrative services to SCMG, MPMG, and SCMC.
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| show | Limited Knox-Keene
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| show | Billing and collections performed by Scripps Clinic Medical Group ONLY
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| What is the Menu Bar in Word? | show 🗑
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| show | A bar of icons that provides quick access to features of Word.
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| show | Worksheets, Charts, and Lists
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| What are the 4 main types of an email? | show 🗑
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| show | Accepts responsibility for solving problems, does not assign blame to others, does not make excuses, and does not present a problem to management without a proposed solution.
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| show | Is approachable, fair, non-judgemental, keeps promises, and does not engage in acts of retribution
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| show | Willingly accepts job responsibilities, exhibits ownership of tasks, work consistently meets expectations
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| show | Respectfully, actively listens, remains calm, tone of voice and body language are positive
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| What is the Golden Rule of Assertive Behavior? | show 🗑
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| Listen __, Talk __. | show 🗑
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| show | Brief and to the point
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| What should you communicate in an apology? | show 🗑
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| show | Just deal with them!
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| show | The foundation of the word.
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| show | Patient Management Application
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| show | Requires plan members to obtain services from doctors and hosptials affiliated with the HMO.
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| show | Limited primarily to co-pays or non-covered services.
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| In an HMO, do members have to get authorizations? | show 🗑
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| show | Providers are paid a fixed per-capita (per-person) amount for each patient enrolled in the HMO over a certain period of time. CLAIMS ARE NOT SUBMITTED TO THE HEALTH PLAN.
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| show | We charge a fee for the service provided, submit a claim, and receive payment based on the contracted rate.
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| show | Fee-for-service, but no out-of-network benefits. Services must be accessed through an in-network PMG.
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| show | Assumption of Liability form - must be signed for EPO
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| What is an IEF form? | show 🗑
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| What is a PPO? | show 🗑
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| show | No, but patient responsibility is higher if they see a non-preffered provider.
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| What patient responsibilities apply to PPOs? | show 🗑
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| show | Point of Service Plan. Offers member different levels of cost sharing and coverages.
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| show | HMO - receives care through PCP or PMG
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| What is Tier 2 in a POS plan? | show 🗑
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| show | Indemnity - receive care from any provider outside the PMG or PPO
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| In what instances is a patient out-of-network? | show 🗑
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| show | Any type of insurance we are not contracted with. Also called an indemnity plan.
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| What is TriCare? | show 🗑
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| show | Standard, For Life, and ChampVA.
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| show | Federal health insurance program for people 65 and older; certain younger people w/ disabilities; and people w/ end-stage renal disease.
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| What is Medicare Part A? | show 🗑
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| show | Coverage for outpatient medical benefits.
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| What is Worker's Compensation? | show 🗑
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| What is Third Party Liability (TPL)? | show 🗑
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| What is Coordination of Benefits (COB)? | show 🗑
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| What is bundling/unbundling? | show 🗑
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| show | All of the physician's work, including interpretation and report of the procedure. Also includes cost of education, malpractice insurance, and other expenses incidental to maintaining a practice.
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| show | The provision of equipment, supplies, technical personnel, and costs related to performance of a procedure other than the professional service.
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| What is global service? | show 🗑
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| What is a CPT code? | show 🗑
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| show | A classification of diseases, injuries, causes of death and procedures. Also known as a Diagnosis Code.
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| show | No - only at physician's discretion or when it is secondary to Medicare.
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| Where would we send electronic OR manual claims to? | show 🗑
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To hide a column, click on the column name.
To hide the entire table, click on the "Hide All" button.
You may also shuffle the rows of the table by clicking on the "Shuffle" button.
Or sort by any of the columns using the down arrow next to any column heading.
If you know all the data on any row, you can temporarily remove it by tapping the trash can to the right of the row.
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Created by:
mhillsd
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