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Texas Hcn Quiz
8 Questions
|
By Catherine Halcomb | Updated: Aug 17, 2015
| Attempts: 113
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1.
ESIS, Hartford CMS, Sentry, TPCIGA, Travelers, Tristar, and Zurich NA are carriers participating in One Call's Durable Medical Equipment and Home Health Networks.
True
False
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About This Quiz
.
2.
What first name or nickname would you like us to use?
You may optionally provide this to label your report, leaderboard, or certificate.
2.
If the carrier is Sedgwick, where should you first try to validate the Texas HCN for you referral?
Using the 'Sedgwick TX HCN/CA MPN Master List by Client' located in SharePoint
Calling the Adjuster/Case Manager
Emailing the Adjuster/Case Manager
Calling the Patient
Submit
3.
There are two types of networks that relate to Durable Medical Equipment (DME) and Home Health, which are Informal Networks and Voluntary Networks.
True
False
Submit
4.
When you receive a referral with an injury state AND service state of Texas, what do you need to verify?
Verify authorization
Verify the HCN
Verify the patient's address
Verify orders
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5.
When you ask the first question "Is the employer a subscriber to the workers' compensation?" and they reply No, you move forward and price your referral following the standard pricing rules.
True
False
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6.
When documenting the Texas HCN validation in CSRD Alert notes, which format(s) shown below are correct?
A) HCN =Yes, HCN = Coventry
B) Subscriber = Yes, HCN = Yes, HCN = Coventry, per Adjuster John Doe
C) HCN = No, HCN = NA
D) Subscriber = No, HCN = NA, HCN = NA, per Adjuster John Doe
E) Both B and D
F) Both A and C
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7.
Once you have completed the Health Care Network (HCN) validation process a note should be entered into CSRD. What note type in CSRD should you ALWAYS document the Texas HCN validation under?
DME Billing
Your Department/Product Line
Alert
Accounts Receivable
Submit
8.
If a carrier participates in One Call's DME and Home Health Network, you will need to verify the HCN for the claim.
True
False
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All (8)
Unanswered (
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)
ESIS, Hartford CMS, Sentry, TPCIGA, Travelers, Tristar, and Zurich NA...
If the carrier is Sedgwick, where should you first try to validate the...
There are two types of networks that relate to Durable Medical...
When you receive a referral with an injury state AND service state of...
When you ask the first question "Is the employer a subscriber to...
When documenting the Texas HCN validation in CSRD Alert notes, which...
Once you have completed the Health Care Network (HCN) validation...
If a carrier participates in One Call's DME and Home Health...
X
OK
X
OK
Cancel
X
OK
Cancel
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