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GNMS: Outpatient Inquiries Summary

Authored by Jennifer Guisbert

Professional Development

Used 193+ times

GNMS: Outpatient Inquiries Summary
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8 questions

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1.

MULTIPLE CHOICE QUESTION

30 sec • 5 pts

An office visit is usually:

A consultation at a medical provider's office.

A visit at the hospital.

Colorguard

A procedure such as a biopsy, CT Scam, or minor surgery.

2.

MULTIPLE SELECT QUESTION

45 sec • 5 pts

Why is it important to understand that office visits may include additional services such as X-rays and labs?

To ensure the provider is paid.

To provide accurate quotes.

To provide the next level of service to our members.

To help doctors provide good care.

3.

MULTIPLE CHOICE QUESTION

30 sec • 5 pts

Which article was mentioned about virtual visits?

ABCs of telehealth

Guidelines for Quoting Benefits

ProcedureFlow article: Telehealth

ACE article: Virtual Visits (Telehealth)

4.

MULTIPLE SELECT QUESTION

45 sec • 5 pts

When do you choose Office Services for the question "What does the caller need?"

When the caller knows that they will only have a consultation with the doctor and no other services.

When the provider category is Professional.

When the caller is unsure if they need other services during their office visit.

When the caller states that they will have labs, or other services, during their office visit.

5.

MULTIPLE SELECT QUESTION

45 sec • 5 pts

When providing quotes, always:

Start with the primary service and quote from the top down.

Start with secondary services and quote from the bottom up.

Checkmark all benefits, even if you did not provide the related quote.

Review all benefit hyperlinks, if available.

6.

MULTIPLE CHOICE QUESTION

30 sec • 5 pts

You only have to quote in-network benefits.

True

False

Answer explanation

True! But you must quote the disclaimer shown in red on RTB or an error will be cited.

7.

MULTIPLE CHOICE QUESTION

30 sec • 5 pts

For a virtual visit, what do you typically choose for the question "What does the caller need?"

Telehealth (Telemedicine) Services

Office Services

Office Visit

Consultation

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