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Please explain, in your own words, the meaning of the following terms:
Tell us what you know about the following types of insurance plans.
Although their literal definition is helpful (what the initials stand
for), we’re more interested in understanding what you know about their
general benefits and requirements, as they relate to patients
scheduling (and paying for) their medical appointments:
For example, an HMO plan will typically only cover visits with
specialists who are “in-network.” So if we as a practice aren’t a
participating provider for that HMO, it’s likely that the visit will not
be covered (something which patients would of course want to know when
Are you familiar with Tricare, Medicare and Medicaid? Similar to the
prior question about HMOs, PPOs, etc., please explain their general
benefits and requirements.
Which types of patients are typically covered by each?
Are referrals usually required?
What (if any) copay is typically required for visits?
Our clinic providers include not only physicians, but also “midlevel”
practitioners such as Physician Assistants and Nurse Practitioners.
A mother calls in to schedule an appointment to have her daughter’s
eczema evaluated, but there are no physician appointments available
during her preferred time frame. However, there are appointments
available with the Physician Assistant.
How would you present this option (to schedule with the PA rather than the
physician) to the patient’s mother on the telephone?
Please “right-click” the following link and open the web page in a new tab/separate browser window:
On that page, you will find a typing speed test which will determine
the number of words you can type per minute. Feel free to take a
practice test or two - but please don't spend more than 5 minutes on
Once you feel comfortable with how it works, please take the 1-minute
typing test. After you've completed the test, you'll see a "Results"
window which includes the following:
Words Per Minute
In the box below, please provide your results:
Please “right-click” the following link and open the sample referral in a
new tab (separate browser window):
Assuming that we accept her insurance, please review the referral and
describe the steps you would take in order to schedule this patient.