Depuy Quiz Part 1

Orthovisc/Monovisc should never be indicated as a surgical procedure because they are billed differently and are more expensive. Surgical procedures typically involve invasive techniques, such as incisions and sutures, whereas Orthovisc/Monovisc are injectable treatments for joint pain. Therefore, it would be incorrect to classify them as surgical procedures.

When the NPI (National Provider Identifier) for the provider is coming up as incorrect, it means that there is an issue with the identification number associated with the healthcare provider. In such cases, it is necessary to obtain the office NPI (National Provider Identifier) from the HCP (Healthcare Provider) in order to accurately bill the services provided. This implies that the statement "When the NPI for the provider is coming up as incorrect, we will need the office NPI from the HCP-- you will need to ask them what NPI will be billed" is true.

The MyVisco Patient Access Program covers patients who do not have insurance or have insurance that does not cover HA. This means that individuals who do not have any insurance coverage or have insurance coverage that does not include HA treatments are eligible for the program.

When making outbound calls to the HCP, it is advisable to have the calls recorded. This is important for several reasons. Firstly, recording the calls can help in maintaining a record of the conversation and any agreements or instructions given during the call. It can also serve as a reference in case of any disputes or misunderstandings. Additionally, recording calls can be useful for training and quality assurance purposes, allowing the organization to review and improve their communication with HCPs. Finally, recording calls may also be a legal requirement in certain industries or jurisdictions to ensure compliance with regulations.

Looking up information in the portal correspondence form before calling the office is recommended because it provides essential details such as the phone number, zipcode, and ID. By doing so, individuals can ensure they have the correct information at hand when making a call, which can help streamline the communication process and avoid any potential confusion or delays. Therefore, the statement "You should always look up information in the portal correspondence form before calling the office" is true.

The correct answer is "All of the above" because each task note should include the name of the person spoke to, the number dialed, and the reason for the call. Including all of this information is important for keeping a record of the conversation and ensuring clear communication between team members.

The correct answer is "All of the Above" because it encompasses all the options mentioned in the question. In a follow-up call, all the relevant parties involved will be contacted, including the person responsible for the task, the supervisor or manager, and any other stakeholders. The purpose of the call is to discuss the progress of the task, address any issues or concerns, and ensure that everyone is on the same page. Specific actions, such as providing updates, seeking guidance, or making necessary adjustments, will be taken during the follow-up call.

Mimecast is a secure email gateway that provides advanced protection against email threats, including phishing attacks, malware, and data leaks. It encrypts emails and attachments to ensure that they are sent securely and cannot be intercepted or accessed by unauthorized individuals. By using Mimecast in Outlook, you can ensure that the benefits being delivered to the provider are sent securely and that sensitive information is protected.

Medicare coverage is the same across the board- will always have a deductible for $183.00.

The correct answer is "My Visco Program". This answer is the new name for the OrthoVisc Line.

The statement is true because including the text in the body of the email in a note task when delivering benefits helps to ensure that the information is easily accessible and can be referred to later. By including it in a note task, it becomes part of a record or documentation, making it easier for the recipient to find and review the details of the benefits being delivered. This can be especially useful in situations where there may be multiple emails or communications regarding benefits, as it consolidates all the relevant information in one place.

When delivering benefits to the provider, it is important to reply via email using the same Mimecast process because it does not automatically send secure. This means that if the Mimecast process is not followed, the email may not be sent securely, which can potentially compromise the confidentiality and integrity of the information being delivered. Therefore, it is necessary to use the Mimecast process to ensure secure delivery of benefits to the provider.

The correct answer is February 7. This date is the earliest among the given options, indicating that it is the date when all sites will be able to register and start using the portal.

The given statement suggests that even if you are notified that Anthem covers Orthovisc/Monovisc, it is still important to check the actual policy to ensure accuracy. This is because notifications can sometimes be incorrect or outdated. By checking the policy, you can confirm whether the coverage is indeed provided or not. If there is any confusion or discrepancy, it is advisable to escalate the matter to a supervisor for further clarification or assistance.

The explanation for the given answer is that even though Quickpath was sent via email, the provider still needs to attach the SOB (Statement of Benefits) and PA (Prior Authorization) documents. These documents are important for insurance purposes and to ensure that the patient's treatment is covered and approved by the insurance company.

Always place your phone on mute while waiting for someone to come on the line.

The given statement indicates that the company will no longer make phone calls as a part of their regular benefit delivery process. Instead, communication will be conducted through faxed communication and the information available on the portal. Phone calls should only be made when there is a need for clarification. Therefore, the statement is true.

It does need to have the fax number listed on both SOB and PA required letter

The explanation for the given correct answer is that when researching Medicare benefits, it is not necessary to verify the benefits most of the time because the benefits are transported in the portal. This suggests that the Medicare portal provides accurate and up-to-date information about the benefits, eliminating the need for additional verification. Therefore, the statement "True" implies that the benefits can be trusted without the need for further verification.

The Yellow Pages is a directory that contains contact information for businesses and individuals, including addresses. It is commonly used to find phone numbers, addresses, and other contact details for businesses and services. Therefore, when searching for a patient's address, one can look in the Yellow Pages to find it.

The MyVisco Patient Access Program is the correct answer because it implies that the program is focused on providing patients with access to something related to MyVisco. The other options (Referral Program, Assistance Program, and Patient Program) are too vague and do not specify what the program is actually about.

The correct answer is to close the BI case, as this action triggers the transfer of data from QP to the portal. By closing the case, the necessary information and findings from the Benefit Investigation are transferred and made available on the portal for further processing and analysis. This step ensures that the relevant data is properly documented and accessible for future reference and decision-making.

The email body should address the individual it is being sent to, explain what is attached, and encourage them to contact if they have any questions. This approach ensures that the recipient understands the purpose of the email and knows how to reach out for further clarification or assistance.

To notify healthcare professionals (HCPs) about the MyVisco Patient Access Program, the most appropriate method would be to provide them with a Summary of Benefits. This document would outline the key features and advantages of the program, helping HCPs understand its benefits and make informed decisions. Fax, phone, and email are also common communication channels, but a Summary of Benefits would provide a comprehensive overview of the program, making it the most effective way to notify HCPs.

The correct answer is 2. This is because scheduling a follow-up for a Prior Auth update typically takes 2 days.

When there are duplicate workflows, the last workflow should be used to document. This means that the most recent or latest version of the workflow should be chosen for documentation purposes. Using the last workflow ensures that the documentation accurately reflects the current state of the workflows and avoids confusion caused by outdated or obsolete information.