Verification of Benefits

Question or Hint Answer or Word
  1. A patient has verified OH Medicaid and United Healthcare Medicaid. What would you put in Medik as the PRIMARY insurance? United Healthcare Medicaid (wrong answers: OH Medicaid, Buckeye Medicare, Self-pay)
  2. Medicare Part B is what covers hospitalizations for patients with straight Medicare False (wrong answers: 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? Primary Anthem Medicare, Secondary CareSource Medicaid (wrong answers: Primary Medicare, Secondary CareSource Medicaid, Primary Caresource Medicaid, Secondary Anthem Medicare, Primary Medicare, Secondary OH Medicaid, Aetna Ohio Rise)
  4. John is a 20 year old male with CareSource Medicaid verified, what primary insurance should be listed for this patient? (wrong answers: CareSource Medicare, CareSource Medicaid, Ohio Medicare)
  5. Why is it important to always list the secondary insurance? A and B (wrong answers: Allow for billing secondary payor to occur so the patient does not get a large bill, Assists social work with being better able to find appropriate placement following stabilization, 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 False (wrong answers: True)
  7. When verifying insurance in involon, there was a yellow hand at the top. What should I do next? Look to see what other plans are detected, and attempt to verify those other plans for the patient (wrong answers: Nothing, that means the patient has insurance and we don't need to look further, Deny the patient, this means that the patient does not have insurance, None of the above)

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