MISCELLANEOUS
These are split out by claim or processing type as well as AHCCCS and Medicare
What are desktops? or Job aides?
True or False Question
Every team has a library in SharePoint
True. ( Each team has a labeled dictionary that holds documents for those teams. )
Working a task means you are doing what in Indigo?
What is working or processing a claim?
The abbreviation used to describe a reduction taken on a Surgery claim
What is MPR
This team works resubmissions and all claim adjustments. Who is their supervisor?
Who is Kim Matzke
These are specific aids for claims processing mostly published in Power Point
what are decision tools?
This Button is "clicked" on the home page of SharePoint to get to the Health Insurance Verification page.
What is the Health Insurance Verification button
We dont call them work queues anymore. Now they go by this name.
What are work assignments.
True or False:
Regular surgical codes and endo codes are all processed the same, 50% reduction.
False. Endos take a reduction equaling the base code of the Endo(s) billed. (only need to say "False")
This team has 2 Supervisors. What are their names?
What is HMO 7 and who is Ilene and Maria
This is the Training Teams email address.
What is HPTrainingMailbox@BannerHealth.com
True or False:
The only way to get announcements is on the SharePoint Home page.
False. Emails are sent to each individual on the Claims Team regarding the Sharepoint Announcment. (False is all that has to be answered)
Adjudication for UB 04 claims is on this page in Indigo.
What is page 14?
This is what the abbreviation ASC stands for in surgery claims.
What is Ambulatory Surgical Center.
There are this many Medicare HMOs that we process claims for; and name one of the Medicare Leaders
What are 3? and who is Heather, Amanda, Michelle (any one of them)
If a team-member (not leadership)would like a resource updated or an announcement made, you send an email here.
What is my leaders email or supervisor/managers email
All the Calculators and Decision tools must be opened in this to run/calculate correctly.
What is open in Desktop or App?
True or False:
The "V" option is no longer available to view claims.
True. Use option "4" instead. (only True has to be answered)
what is one line?
Name 3 managers of the Team(s)
Who is Ike, Cindy, Olga, Michelle, Susanna, Mandy any three of those.
The most current announcement in SharePoint is this.
What is
Announcement: Medicare Team (Provider Write-Off vs. Provider Termed)
True or False:
The link to the Home-Centers for Medicare & Medicaid services is on the Home page.
True
This is how you access Burgess in live claims.
What is F49-2-page down (or similar directions)?
These lines/codes are never reduced.
What are add on codes?
This team Tests and Reviews contracts to make sure they are loaded correctly.
Who is the =--- team