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GENEDX REFRESHER

Quiz by Sherlly Batidor

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6 questions
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  • Q1

    Which of the following statements is correct?

    If the patient calls in saying that they want the test to be held until they call us back, 

    If the patient calls in saying that they want the test to be held until they call us back, put a Yes on the hold for estimation field under the CSQ tab.

    If the patient calls in saying that they want the test to be held until they call us back, notate the accession accordingly.

    If the patient calls in saying that they want the test to be held until they call us back, override the accession to FINALCONT-BIHLD-BENEFITS INVESTIGATION and advise them that GeneDx will allow up to 30 days before auto-canceling the testing.

    60s
  • Q2

    Which of the following statements is correct?

    If the patient calls in saying that they are still undecided to move ahead with testing, move the accession to the next queue (second contact, third contact, final contact) and advise that GeneDx reps will keep on giving them a call to confirm their decision.

    None of the above.

    If the patient calls in saying that they are still undecided to move ahead with testing, notate the accession accordingly for the next reps' reference.

    If the patient calls in saying that they are still undecided to move ahead with testing, advise that they have to decide as soon as possible to avoid getting billed.

    60s
  • Q3

    Which of the following statements is correct?

    Prior to activating the test, confirm the patient's email address.

    Prior to activating the test, we need to confirm with the caller if we have the correct payor on file to avoid delays in the billing process.

    Prior to activating the test, no need to check anything as long as they say yes.

    None of the above.

    30s
  • Q4

    Which of the following statements is correct?

    When activating/canceling the testing, always fix the fixable EP errors (E.g. CLNPTEST,AIM-DND,SECOND CONTACT, etc.).

    None of the above.

    When activating/canceling the testing, it is not necessary to fix any errors on the account.

    When activating/canceling the testing, override the accession the final contact queue.

    30s
  • Q5

    How do we determine if the payer is under AIM?

    By checking the website.

    By checking the admin portal.

    By referring to the AIM payer list.

    10s
  • Q6

    Which of the following statements is correct for denied PAs by AIM payer?

    If the test has billing approval on it, we will force the patient to go self-pay. In this case, it was already final reported and denied by the insurance and we do not balance bill for non-covered services. The patient will be billed based on their deductible/coinsurance/copay.

    None of the above.

    If the test has billing approval on it prior to the PA denial, the patient will be billed the full test price.

    If the test has billing approval on it, we will never force the patient to go self-pay. In this case, it was already final reported and denied by the insurance and we do not balance bill for non-covered services. The patient will be billed based on their deductible/coinsurance/copay.

    60s

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