90-Day Review Questionnaire

health 1st chiropractic and rehabilitation 90 day review questionnaire please answer the following questions if unsure of an answer, please leave it blank and highlight the question, you will have an opportunity to answer during your 90 day review interview 1\ please list your office’s following information a phone # fax# 2\ please list at least one other office’s following information a phone # fax# 3\ please list the answering service’s phone # 4\ what is our website 5\ we can treat these 3 types of patients in our office a b c 6\ name at least three therapies/services we provide in our office a b c d 7\ what criteria qualifies someone to be a new patient, name at least 2 a b c d 8\ two insurances often require acn, name at least one a b 9\ what’s the fastest way to check benefits for a bcbs patient? a 10\ name at least three pieces of information we need from a patient’s insurance company a b c 11\ name at least three insurance companies you've seen patients have in your last 90 days here besides bcbs a b c 12\ if a patient has an hra w/ their insurance, how much do we collect from them up front? 13\ cash patient price for adjustment $ adj +thf $ 14\ what is medpay 15\ what is liability 16\ who do we send the lien to 17 how much is a cash chiropractic np visit a how much is a functional medicine np visit b how much is a neuropathy np visit 18\ name at least two primary care doctors you’ve sent pcp letters to in the last 90 days a b c d 19\ out of the 7 forbidden phrases that we should not say to patients, name 3 a b c 20\ please list your tardies please list your absences please check one of the following i am ready for more responsibilities and would like to increase my knowledge of the insurance/billing aspect of health first i am ready for more responsibilities but would only like to learn i am comfortable with my current responsibilities and do not wish to take on anymore at this present moment