Action Urgent care Front Office Exam

55 Questions | Total Attempts: 271

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Action Urgent care Front Office Exam

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Questions and Answers
  • 1. 
    What do we need from every patient? (Select all that apply)
    • A. 

      Credit/Debit card

    • B. 

      Driver's License or a form of Identification

    • C. 

      Health Insurance card

  • 2. 
    Which of the following is the correct order to verify eligibility?
    • A. 

      Out of Pocket (Stop Loss), Deductible, Copay, Coinsurance

    • B. 

      Copay, Deductible, Out of Pocket (Stop Loss), Coinsurance

    • C. 

      Deductible, Out of Pocket (Stop Loss), Coinsurance, Co pay

  • 3. 
    How much are AUC school physicals?
    • A. 

      $200

    • B. 

      $45

    • C. 

      $100

    • D. 

      $300

  • 4. 
    T/F: We accept HMO insurance without prior authorization.
    • A. 

      True

    • B. 

      False

  • 5. 
    What is the protocol for a patient that has the flag "In collections"? [Select all that applies]
    • A. 

      Call Ops Manager on duty to confirm in collections amount.

    • B. 

      Accept at least 50% of the total bill

    • C. 

      Call our Billing Department  Mon-Fri 9-5pm

    • D. 

      Accept 100 % of balance and any additional visit fees due that day

  • 6. 
    T/F: If a patient met their Out-of-Pocket Stop Loss, then we do not need to collect their deductible, copay, or coinsurance. We can bill the insurance first.
    • A. 

      True

    • B. 

      False

  • 7. 
    Which of the following would we place a flag on the patient's chart?
    • A. 

      W/C DOI

    • B. 

      Deductible Due

    • C. 

      Self Pay

    • D. 

      CC in Collectly

    • E. 

      Alert 

    • F. 

      In Collections

  • 8. 
    After running eligibility for a patient, this is what is shown: Deductible states "Out of plan network." Copay states "Not applicable for Plan Network." Co-insurance states "40% In-Plan Network." Which of the following would we look at based on the information?
    • A. 

      Co-insurance

    • B. 

      Deductible

    • C. 

      Copay

    • D. 

      Out of Plan Network

  • 9. 
    T/F: We accept Stanford HealthCare Alliance and Stanford HealthCare Advantage without prior authorization even if it states HMO on the card.
    • A. 

      True

    • B. 

      False

  • 10. 
    At AUC, how much is a consultation + X-Ray? 
    • A. 

      $400

    • B. 

      $100

    • C. 

      $200

    • D. 

      $300

  • 11. 
    In what order do we input a cash payment into Dr Chrono?
    • A. 

      Balance tab, Patients payments tab, Add, email Liana and CC Ops Manager

    • B. 

      Email Liana, Patient payments tab, Balance tab, Add, Payment method (cash)

    • C. 

      Add, Balance tab, Payment method (Cash), patients payments tab

  • 12. 
    T/F: For No Show/Cancellation, we change the appointment status to No Show,  input the cancellation CPT code under custom codes, then document in appointment notes.
    • A. 

      True

    • B. 

      False

  • 13. 
    T/F: When a patient cancels an appointment or walks-out, I have to fill out the Cancellation Survey.
    • A. 

      True

    • B. 

      False

  • 14. 
    T/F: A Primary Care patient (PCP) has Blue Shield of California insurance.  You run the insurance eligibility and it states their deductible has been met. When you look at copay, it states: Urgent Care "In-Plan Network" $20 and Physician Office Visit: Sick "In-Plan Network" $0.  Based on the patient's status, we collect Urgent Care.
    • A. 

      True

    • B. 

      False

  • 15. 
    What of the following actions do we take with Health Net insurance? 
    • A. 

      Check Health Net website for eligibility

    • B. 

      Collect self pay fee

    • C. 

      Obtain prior authorization

    • D. 

      Call insurance 

  • 16. 
    You run insurance eligibility. Eligibility states Deductible is In-Plan Network and has a remaining $870.19, Copay is Out-Of-Plan Network $35, and Coinsurance is In-Plan Network 10%. What do we collect? 
    • A. 

      Coinsurance

    • B. 

      Deductible

    • C. 

      Out of plan network

    • D. 

      Copay

  • 17. 
    Which of the following are required steps when there is Worker's Compensation? (Select all that apply)
    • A. 

      Notify an Ops Manager on duty

    • B. 

      Call the patient's employer get approved modified work duties.

    • C. 

      Fill out and fax Work Status and PR1/PR2

    • D. 

      Notify workers comp lead 

  • 18. 
    You have a patient come in with VA (Veteran's Affairs" insurance. Select the items that are required for patient to be seen. [Select all that apply]
    • A. 

      Prior authorization 

    • B. 

      Driver's License

    • C. 

      Medicare card

    • D. 

      CC in collectly

  • 19. 
    You run insurance eligibility and it states: "Not applicable" for Deductible, "In Plan Network" for Copay, and "Not Applicable" for Coinsurance. What do you collect? 
    • A. 

      Copay

    • B. 

      Coinsurance

    • C. 

      Deductible

    • D. 

      Not applicable

  • 20. 
    T/F: We can accept Tricare without their physical insurance cards if they provide us with their Driver's License and primary subscriber's Social Security Number.
    • A. 

      True

    • B. 

      False

  • 21. 
    At AHC, how much is an intermediate visit that has a consultation and rapid strep test?
    • A. 

      $100

    • B. 

      $130

    • C. 

      $150

    • D. 

      $75

  • 22. 
    T/F: Cash payments are to be manually inputted and allocated in DrChrono.
    • A. 

      True

    • B. 

      False

  • 23. 
    If a patient is SELF PAY, what is the payment profile changed to? 
    • A. 

      Cash

    • B. 

      Insurance

    • C. 

      Check

    • D. 

      Credit card

  • 24. 
    T/F: I can email a patient's lab results or tell them over the phone if they request.
    • A. 

      True

    • B. 

      False

  • 25. 
    How much is the AUC deductible fee?
    • A. 

      $225

    • B. 

      $200

    • C. 

      $75

    • D. 

      $150

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