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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| What function is patient inquiry? | show 🗑
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| What function is invoice inquiry? | show 🗑
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| Where can you do multi-invoice FSC transfer? | show 🗑
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| How can you transfer payments or FSCs? | show 🗑
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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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| show | Function 2, Activity E
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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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| show | Displays a list of commands - some with images next to them so you can quickly associate the command with the image.
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| What is the Standard Toolbar in Word? | show 🗑
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| What are the 3 types of modeling tools in Excel? | show 🗑
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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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| How does a team player act with integrity? | show 🗑
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| How does a team player demonstrate accountability and reliability? | show 🗑
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| How does a team player communicate with others? | show 🗑
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| show | Be honest, courteous, and responsible
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| show | 80%, 20%
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| show | Brief and to the point
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| show | Damage control
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| show | Just deal with them!
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| What is a root word? | show 🗑
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| show | Patient Management Application
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| What does an HMO require from its plan members? | show 🗑
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| show | Limited primarily to co-pays or non-covered services.
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| show | Yes, to see a specialist or go out-of-network.
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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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| What is an AOL? | show 🗑
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| show | Insurance Eligibility Form: states they understand the insurance information they provided is correct.
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| show | Preffered Provider Organization.
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| Do PPO members have to choose a PCP or PMG? | show 🗑
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| show | Deductible, copays and co-insurance.
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| What is a POS? | show 🗑
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| What is Tier 1 in a POS plan? | show 🗑
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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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| Which TriCare plans do we accept? | show 🗑
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| What is Medicare? | show 🗑
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| show | Coverage for acute inpatient hospitalization, skilled nursing care, hospice and home health care.
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| What is Medicare Part B? | show 🗑
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| What is Worker's Compensation? | show 🗑
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| show | When someone causes injury to another person either by act or omission. They become liable for the damages. SCRIPPS CLINIC DOES NOT DO THIRD PARTY BILLING.
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| show | When the patient has two insurances, we wait until the primary pays, and then bill the secondary as a courtesy to the patient.
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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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| What is the technical component? | show 🗑
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| show | The complete, 100% cost of a procedure (includes professional and technical component).
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| show | Current Procedural Terminology. Describes medical, surgical, and diagnostic services.
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| What is an ICD-9 code? | show 🗑
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| Do we accept Medi-Cal? | show 🗑
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| Where would we send electronic OR manual claims to? | show 🗑
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Review the information in the table. When you are ready to quiz yourself you can hide individual columns or the entire table. Then you can click on the empty cells to reveal the answer. Try to recall what will be displayed before clicking the empty cell.
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.
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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