Who are SVP Networks, VP Facility Contracting, Regional Facility Contracting Directors?
100
The number of facility records attached to an epuf.
What is one?
100
Once request form is received the timeframe to outreach for the initial contact to the provider.
What is within five business days?
100
Percentage of epufs placed in question/review
What is 15%?
100
Epuf stands for...
What is electronic provider update form?
200
Place where the initials are found.
What is the lower left hand corner of the signature page?
200
Submission type for 1005 to 2008 conversion
What is an amendment?
200
The two project titles to find autism providers in the RDB.
What are "Autism and AutismRateAgreement?
200
The #1 reason epufs are put into question/review
What is the epuf request is not clear?
200
This person submitted the most epufs in 2010.
Who is Amy Potts? She submitted 274.
300
Portion of the agreement that needs to be sent over for execution?
What is the entire agreement?
300
Form needed for amendments that are adding a level of care or changing rates.
What is the signed standard payment appendix? You must also include a site form if adding a level of care.
300
BCBA stands for.
What is a Board Certified Behavioral Analyst?
300
This needs to be done on the trans prod when indictating a billing code change.
What is "bold" the new code and the effective date?
300
Number of completed epufs in 2010
What is 4,785?
400
Found the subject box of the email
What is "SIGNATURE REQUIRED?"
400
Only two types of acceptable documents can be submitted for escalators.
What are standard payment appendix or UBH rate report. No other types of payments appendices will be accepted (no site form necessary)
400
Name of the only national accreditation we are accepting.
What is none? All ABA agencies require a site audit.
400
Number of records needed for five, Non-acute facilities with different locations using the same TIN, but have different names.
What is five? Each record needs to go through the credentialing process.
400
Number of coordinators
* Bonus - name them
What is fourteen? Who is Tessie, Erica, Shannon, Fabian, Mary, Mula, Rhona, Janie, Kin, Dawn, Darlene, Janice, Toya, Carnel
500
Maximum amount of time to receive executed agreement back.
What is 3 business days?
500
Hospital systems with the same rate increase will need this submitted.
What are transpods, via UBH rate report for each facility in the hospital system.
500
Name the five primary billing codes for ABA contracting
What are H0031, H0032,H2014, H2012 and H2019?
Target and Ceiling Rates
H0031 $120.00 / $125.00
H0032 $75.00 / $100.00
H2014 $8.00 / $10.00
H2012 $60.00 / $70.00
H2019 $9.50 / $22.00
500
Define urgent
What is a specific update/change is needed to resolve claims/auth issue?
500
Rate increase amendment was effective 1/1/11. 4/20/11 facility calls to say that since they opened in 2000 they only use rev code 114 not 124 which was on their last amendment. Provide the effective date for the billing code change.