MCCCD Official Course Competencies:

CSR129  2007 Fall – 2008 Summer II

Advocate-Driven Medication Procedures Lab

1.

Use a computerized database to assist customers. (I-VI)

2.

Use an automated phone system. (II)

3.

Search patient accounts. (III)

4.

Practice updating information and adding notes to a patient's account. (III)

5.

Process various types of customer correspondence. (IV)

6.

Determine a patient's eligibility. (V)

7.

Enroll patients into an advocate-driven medication program. (V)

8.

Process claims. (VI)

9.

Demonstrate ability to handle rejected and reversed claims. (VI)

10.

Demonstrate ability to assist customers. (I-VI)

MCCCD Official Course Outline:

CSR129  2007 Fall – 2008 Summer II

Advocate-Driven Medication Procedures Lab

I. Computerized Database

A. Overview

B. Log In/Out

C. Function Keys

D. Menus

E. Screens

F. Tabs

G. Searches

II. Automated Phone System

A. Overview

B. Logging On/Off

C. Answering Calls

D. Outbound Calls

III. Patient Accounts

A. Overview

B. Account Status

1. Patient Search

2. Enrollment

3. Timeline

C. Adding Notes

1. Automatic Notes

2. Notes Entered Previously

3. Notes Field

D. Updating Patient Information

IV. Customer Correspondence

A. Screens/Tabs

B. Received Correspondence

C. Input of New Correspondence

D. Insurance Documentation

E. Prescription

F. Updating Patient Files

G. Sending Out Correspondence

V. Enrollment Procedures

A. Overview

B. New Patients

C. Non-Medicare Eligible Patients

1. With Insurance

2. Without Insurance

D. Medicare Eligible Patients

E. Re-Enrollment of Current Patients

1. Annual Re-Enrollment

2. Advocate Fails to Re-Enroll Patient

3. Emergency Drug Authorizations

VI. Claims

A. Process

B. Searches

C. Screens

1. Patient

2. Drugs

3. Pharmacy

4. History

D. Rejected Claims

E. Claim Reversal