Verification of Benefits

  1.  
    A patient has verified OH Medicaid and United Healthcare Medicaid. What would you put in Medik as the PRIMARY insurance?
    A. United Healthcare Medicaid B. OH Medicaid C. Buckeye Medicare D. Self-pay
  2.  
    Medicare Part B is what covers hospitalizations for patients with straight Medicare
    A. False B. True
  3.  
    Linda is referred for inpatient treatment, and you were able to identify that she has Medicare with 100/190 days left, Anthem Medicare, OH Medicaid, and CareSource Medicaid. What would be primary and secondary insurance?
    A. Primary Anthem Medicare, Secondary CareSource Medicaid B. Primary Medicare, Secondary CareSource Medicaid C. Primary Caresource Medicaid, Secondary Anthem Medicare D. Primary Medicare, Secondary OH Medicaid E. Aetna Ohio Rise
  4.  
    John is a 20 year old male with CareSource Medicaid verified, what primary insurance should be listed for this patient?
    A. CareSource Medicare B. C. CareSource Medicaid D. Ohio Medicare
  5.  
    Why is it important to always list the secondary insurance?
    A. Allow for billing secondary payor to occur so the patient does not get a large bill B. Assists social work with being better able to find appropriate placement following stabilization C. A and B D. It's not important at all, and we don't utilize secondary payors
  6.  
    If a patient has UHC Dual you do NOT need to find out how many medicare bed days they have remaining
    A. False B. True
  7.  
    When verifying insurance in involon, there was a yellow hand at the top. What should I do next?
    A. Look to see what other plans are detected, and attempt to verify those other plans for the patient B. Nothing, that means the patient has insurance and we don't need to look further C. Deny the patient, this means that the patient does not have insurance D. None of the above
Answer Key
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Verification of Benefits (Answer Key)

  1.  
    A patient has verified OH Medicaid and United Healthcare Medicaid. What would you put in Medik as the PRIMARY insurance?
    A. United Healthcare Medicaid B. OH Medicaid C. Buckeye Medicare D. Self-pay
  2.  
    Medicare Part B is what covers hospitalizations for patients with straight Medicare
    A. False B. True
  3.  
    Linda is referred for inpatient treatment, and you were able to identify that she has Medicare with 100/190 days left, Anthem Medicare, OH Medicaid, and CareSource Medicaid. What would be primary and secondary insurance?
    A. Primary Anthem Medicare, Secondary CareSource Medicaid B. Primary Medicare, Secondary CareSource Medicaid C. Primary Caresource Medicaid, Secondary Anthem Medicare D. Primary Medicare, Secondary OH Medicaid E. Aetna Ohio Rise
  4.  
    John is a 20 year old male with CareSource Medicaid verified, what primary insurance should be listed for this patient?
    A. CareSource Medicare B. C. CareSource Medicaid D. Ohio Medicare
  5.  
    Why is it important to always list the secondary insurance?
    A. Allow for billing secondary payor to occur so the patient does not get a large bill B. Assists social work with being better able to find appropriate placement following stabilization C. A and B D. It's not important at all, and we don't utilize secondary payors
  6.  
    If a patient has UHC Dual you do NOT need to find out how many medicare bed days they have remaining
    A. False B. True
  7.  
    When verifying insurance in involon, there was a yellow hand at the top. What should I do next?
    A. Look to see what other plans are detected, and attempt to verify those other plans for the patient B. Nothing, that means the patient has insurance and we don't need to look further C. Deny the patient, this means that the patient does not have insurance D. None of the above

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