States
One of the Cheat Sheets (ha-ha!)
Music Legends
Another One of the Cheat Sheets
Culinary
100

In the movie "Forrest Gump," the titular character runs across the country. Which state's capitol does he reach, symbolizing the end of his run?

What is Montgomery, Alabama

100

If you see edit 6029 (Future DOS End Date for DME) on a claim, you should look at this first.

What is the date of service on the claim?

100

This influential American singer-songwriter, known for his distinctive voice and poetic lyrics, released albums like "Blonde on Blonde" and "Highway 61 Revisited."

Who is Bob Dylan?

100

For Edit 611 (No Available Auth Units), you need to check the authorization for this. 

What is the amount of approved service lines and approved units?

100

In French cuisine, what is the term for a mixture of finely chopped herbs, typically including parsley, chives, and tarragon?

What is fine herbs?

200

The movie "The Shining" is set in an isolated hotel in which U.S. state?

What is Colorado?

200

This is your adherance percentage goal.

What is 93%?

200

Often referred to as the "Father of the Blues," this Mississippi-born musician and songwriter greatly influenced the development of blues and rock music.

Who is W.C. Handy?

200

This should be advised if a provider needs more units on the authorization.


What is the UM (utilization management) team cannot change the number of requested units. Please advise the provider to cancel/end date the current authorization and submit a new one?



200

What popular Middle Eastern dip is made from mashed chickpeas, tahini, lemon juice, and garlic?

What is Hummus?

300

In the film "Steel Magnolias," the story is set in a small parish in which Southern state?

Louisiana

300

These payments are made on claims that include T codes, G codes, and/or DME codes and are paid via waiver dollars.

What are wraparound payments?

300

This influential jazz trumpeter and composer, known for his contributions to the development of cool jazz, released the iconic album "Kind of Blue" in 1959.

Who is Miles Davis?

300

If you see that the contract term is termed when doing your research for Edit 376 (Contract Term Restriction Group Validation), you should do this.

What is complete a claim escalation?

300

Which Southeast Asian country is famous for its spicy and flavorful cuisine, including dishes like Tom Yum and Pad Thai?

What is Thailand

400

In the animated movie "Cars," the town of Radiator Springs is located along the historic U.S. Route 66. In which state is Radiator Springs situated?

What is Arizona?

400

The known issue on Edit 206 (Benefit Visit Limit Exceeded) applies to these codes only.


What is CPT codes 99202 through 99215 as well as CPT codes T1000 and T1001?

400

 In 2019, a prominent hip-hop artist made history by becoming the first in the genre to achieve billionaire status. Who is this artist, breaking records and making waves in the business world?

Who is JAY-Z

400

If a Payment Control Number (PCN) starts with 0000, then it's a Gainwell payment.  If a PCN starts with C, then it's this.

What is a MITS payment?

400

In Italian cuisine, what term is used for pasta that is cooked to be firm to the bite?

What is Al Dente?

500

In the movie "The Princess and the Frog," the vibrant city of New Orleans comes to life. While New Orleans is in Louisiana, the film also showcases a mystical bayou setting. In what other state is the bayou depicted in the movie located?

What is Mississippi?

500

This is where all psychiatric inpatient precertification (PA) requests for recipients under the age of 21 need to be sent for processing.

What is Aetna?

500

In 2007, Kanye West released a line of merchandise featuring a teddy bear motif. What is the name of this teddy bear character associated with Kanye West's brand?

What is the Dropout Bear?

500

For Edit 1147 (Ordering/Referring Provider Status is not Active), you must follow these steps.

What is check the provider pricing to determine if there is a term date and compare to the date of service of the claim?

500

What is the name of the grilled meat sandwich that often comes with cheese, lettuce, and mayonnaise, served in a long, split roll?

What is a Philly Cheesesteak?

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