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Clinical Advisor Flashcards

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0
Q

TOS

A

?

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1
Q

AUD

A

?

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2
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1915i

A

?

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3
Q

CANS

A

?

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4
Q

ASI

A

Addiction Severity Index

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5
Q

LOCUS

A

Stands for: ?

The LOCUS assessment is available within CA and it’s no longer necessary to go through outside vendor’s website.

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6
Q

LON

A

level of need

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7
Q

Enrollment date should not precede _______ date.

A

registration

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8
Q

Registration date not to precede _________.

A

3/1/2012

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9
Q

Appointment History tab stores and displays client appointments entered from Scheduler that have a _________, ___ _________, or __________ status.

A

show
no show
cancelled

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10
Q

T/F

Group appointments are able to be successfully scheduled in Scheduler.

A

True

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11
Q

The user’s PIN is used for what?

A

Sign progress notes

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12
Q

The blue door icon is for…

A

Referrals

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13
Q

If you can’t find your client in the Louisiana Referral (open blue door icon) or the client packet, what is the next step?

A

Add your client.

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14
Q

How do you access a client record which exists with a provider you don’t have access to?

A

You only have “Secondary Access” not “Full Access” for clients associated with other providers.

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15
Q

What to do if you can’t access a client through the Client Packet and you can’t add a new client into CA…

A

Call 800-424-4399 or 888-411-6343 and ask for the EMR team. Report the issue to the EMR agent and the issue will be investigated. If necessary, Magellan will document the issue and create a HEAT ticket to escalate the issue to a higher tier of support.

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16
Q

PIB

A

???

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17
Q

TPL

A

???

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18
Q

Gateway EDI

A

New website that will provide us with the following functions:
-check Medicaid eligibility

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19
Q

RA

A

remittance advice

statement of what we billed and determination as to whether claim will be paid or is denied

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20
Q

Person responsible for submitting FPHSA data to register for Gateway EDI.

A

Thomas

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21
Q

EFT date will always precede the date of __________.

A

deposit

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22
Q

The reference number for payments is 835 + date of ________/______.

A

check/REA

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23
Q

The green folder icon is for…

A

referrals

also can use F12 key

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24
The document icon is for...
reports
25
The house icon is for...
staff home
26
The "i" in the circle is for...
informational client alerts
27
The envelope icon is for...
message center
28
The green dollar sign icon is for...
client payments/billing
29
The blue Rx icon is for...
medication window
30
The Red Cross icon is for...
clinical advisor display
31
The calendar icon is for...
scheduler
32
To log off of CA, can you just click the X in the upper right corner?
No!
33
one of the most essential parts of the Client Master is the record of the __________ __________.
Client Guarantor
34
If the ________ ____________ is not entered correctly, then notes, demographics, and forms cannot be processed.
Client Guarantor
35
When you log on to CA, you can access this page by clicking the blue door icon.
Staff Home
36
Where do you add a new client?
Staff Home
37
A new client can be added through the __________ process.
Referral
38
Once you save a new client, which two windows will open?
Client Packets and | Client Master
39
With a newly created client, you can close the Client Packets window by clicking on the ____.
X
40
Fields completed on the Referral form are auto populated on the ________ ________.
Client Master
41
The Client Master has how many tabs?
6
42
In the ___________ tab of the Client Master you can add additional info such as phone numbers and ethnicity.
Demographics
43
To add a client, click on the Guarantor tab in the Client Master and click the ______ __________ __________ button.
Add Client Guarantor
44
The Client Guarantor screen is CA's gateway to the ___________ ________.
outside world
45
Once on the Client Guarantor screen you must enter what before anything else?
Effective date
46
all fields with BOLD titles are ___________.
required
47
Effective date cannot be more than___ years old, cannot be a ________ date, and cannot precede ________.
2 future 3/1/12
48
Once you have an effective date in the Client Guarantor screen, the ___________ drop-down box will be populated by all _____________ that are effective on that date.
Guarantor | guarantors
49
Most of the time, the guarantor will be...
Magellan
50
The _______ category has to do with what billing position the guarantor is taking.
Priority
51
Most of the time, the Priority choice will be _________, particularly when Magellan equates to Medicare.
primary
52
You ________ include an Insured ID.
MUST
53
The Insured ID number is typically found where?
the client's insurance card
54
Typing in the client's "Insured ID" number means that you have ___________ the ID.
verified
55
The Accept Assignment field indicates whether or not your clinic has accepted the individual as a _________.
client
56
If the Guarantor is Magellan, you must also complete the __________ ___________ area of the Client Guarantor form.
Submit Method
57
The information from the Client Guarantor screen will appear in the Guarantor tab of the _________ ___________ screen.
Client Master
58
One of the most common mistakes on the Client Guarantor screen is getting the ____________ wrong.
Guarantor
59
When the Client Guarantor screen has the wrong date, it can be fixed by clicking the ______ button and entering an Expiration Date that is the same as the _________ _______.
Edit | Effective Date
60
Double clicking on any of the guarantors listed in the Client Master-Guarantor screen will open up the record in the ________ _________ screen.
Client Guarantor
61
What screen do you arrive at after logging on to CA then exiting the Message Center?
Staff Home
62
The Client Packets screen opens to the last client you __________.
selected
63
To find a client for whom you want to open a new packet, click on the ______________.
binoculars
64
Clicking on the binoculars icon opens up the _________ ___________ window.
Client Lookup
65
Is the Full Enrollment packet automatically created when you move the client through the referral process?
yes
66
After the Full Enrollment packet is created, what do you need to do?
create other packets by clicking on New Packet.
67
What two fields are required to be filled in before the Type drop down will be populated in the New Packet?
Packet Date and Time
68
After populating the the Type of Packet, which button do you press?
Save
69
Clients enter the Magellan Network of Behavioral Health through the ________ _________ screens of CA.
Client Referral
70
Starting from the ____________ Referral screen, you will gather required information about your client through use of the ____________ Referral form, the ___________ Master, and the Client ________ Demographic form.
Louisiana Client Client Packets
71
Clicking on the blue door icon in from the Staff Home page will open the _____________ Referral screen.
Louisiana
72
When a new client comes into the clinic, we need to check to see if she is already in the ____________.
system
73
To see if a client is already in the system, we enter the individuals _________ and _________ names into the appropriate fields of the Louisiana Referral screen.
first | last
74
Once we find a client from the Louisiana Referral screen we need to see if their _______ matches the client we are looking for.
DOB.
75
If you don't find a client you are looking for on the Louisiana Referral screen, what button do you press?
Add New
76
Double clicking on a client on the Louisiana Referral screen causes what form to pop up?
Louisiana Referral
77
When you save a client in the Louisiana Referral form, what two things happen?
1. A Client ID is assigned to the client | 2. The View/Save Client Master button becomes available
78
Saving the Lousiana Referral form, causes what screen of the Client Master to open?
Demographics
79
What should you do on the Client Master - Demographics form?
Complete as much as possible
80
What should you do on the Client Master - Guarantor tab?
complete as much as possible
81
Is Guarantor information optional?
NO! It's required.
82
If there is no guarantor listed on the Guarantor tab of the Client Master, what button should you press?
Add Client Guarantor
83
What are the four tables of the Client Guarantor Screen?
Consumer CoPay and Sliding Fee Rates Insured History
84
What is the Insured ID?
The person's Medicaid insurance number
85
On the Consumer tab of the Client Guarantor screen, what does "yes" in the Accept Assignment field indicate?
the insurance company agrees to direct pay Magellan

Information Technology (2 decks)

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