Capstone Billing Simulation with Student Data Disks

Part 1 Introduction to Polaris Medical Group Welcome Statement of Purpose Organization and Staff Medical Records Guidelines for Maintaining Confidentiality Information in the Medical Record Polaris Medical Group Compliance Program Your Role as a Patient Services Specialist Qualities and Attitudes of the PSS General Responsibilities Your Typical Day at Family Medical Group Scheduling Patients for Appointments Recording and Maintaining Patient Information Maintaining a Third-Party Payer Information Educating Patients and Responding to Patient Inquiries Recording Charges, Payments and Adjustments Generating Insurance Claims Checking for and Recording Incoming Referrals Generating Financial Reports Updating CPT and ICD-9 Codes in the Database Quiz: Part 1 Part 2 Polaris Medical Group Policy and Procedure Manual Reading Acknowledgment Contents Practice Information Equal Employment Opportunity, Nondiscrimination, and Affirmative Action Statement Types of Employment Wages and Compensation Pay Rates Overtime Compensation Pay Dates Employee Time Records Performance Evaluations Employee Benefits Employee Grievances Resignation, Termination, Discharge, and Cobra Benefits Resignation Termination Discharge Cobra Benefits Personnel Conduct Issues Contributions and Solicitations Identification Badges Inclement Weather Conditions Sexual Harassment Dress Code Smoking and Tobacco Use Substance Abuse Personal Telephone Calls and Visits Universal Precautions Office Hours and Attendance Definitions of Absences Scheduled Absences Unscheduled Absences Lateness/Leaving Early Excused Absences Unexcused Absences Attendance Policy Telephone Procedures Recording Telephone Calls Screening Telephone Calls Taking Telephone Messages Handling Emergency Telephone Calls Symptoms/Complaints Considered Emergencies Office Visit Procedures Confidentiality Confidentiality Policy Confidentiality Guidelines Receptioning Gathering Patient Information Information Obtained from New Patients over the Telephone Information from Other Sources Verifying Insurance Coverage Guidelines Checking for Preauthorization Requirements Checking for Referral Requirements Concluding the Patient's Visit Appointments Scheduling Appointments Patient Flow Scheduling Allotments Payment for Services The Billing Process Billing Codes, Patient Statements, and Place of Service Codes Insurance Claims Billing Guidelines Review of RAs Patient Billing Disputes Daily Reports Guidelines for Medicare, Medicaid, and Workers' Compensation Medicare Medigap Insurance Medicare Managed Care Plans Medicaid Workers' Compensation Insurance Information Pages Standard Health Care, Inc., Traditional Plan Blue Cross and Blue Shield of Ohio, Traditional Plan Tricare HMO Columbus Medical Care PPO Cigna Healthplan HMO Aetna Health Plans, Ohio HMO-Network Ohio Insurance Company, Traditional Plan Nationwide Medicare, Parts A and B Nationwide Medicare HMO Ohio Department of Human Services, Medicaid Blue Cross and Blue Shield of Ohio, Workers' Compensation Quiz: Part 2 Part 3 On the Job Week 1, Day 1 Medisoft Training Topic 1: Entering Guarantors Who Are Not Patients Week 1, Day 2 Week 1, Day 3 Week 1, Day 4 Week 1, Day 5 Medisoft Training Topic 2: Entering Referrals Medisoft Training Topic 3: Entering a Primary Care Provider Outside the Practice Medisoft Training Topic 4: Using Quick Balance End of Week 1 Job Week 2, Day 1 Medisoft Training Topic 5: Entering Prior Authorization Numbers Week 2, Day 2 Medisoft Training Topic 6: Entering Addi