Units
Which modifier indicates waste on drugs?
JW
What is the difference between a statement date and an admission date?
Statement date is date patient presented at hospital, and admission date is date of actual inpatient admission
28R code for non gov billing
2c49cd98
How to toogle between screens
Shift f9
What is Nicoles favorite color
TEAL
What is the screen in invision called that we use to move money on a unitized encounter?
What is the 72 hr rule?
Under this rule, payers require hospitals to bundle certain outpatient services with the inpatient claim if they occur within 3 calendar days prior to an inpatient admission.
who do you email to correct payments
LA, DK, DB
how to clear a line in invision
END key
What's Annie's favorite color?
PINK
On a Medicaid Managed account, how many bills can we submit to the payer for same day of service?
2
What is a POA indicator?
Point of admission indicator
Name 1 step in the qualifying Medicare process
age, dis, esrd, comm payer sub, etc
what is BONF
login/bo non gov follow up
Name any 3 managers and/or senior managers out of the 6 in our office
Derak, Vivian, Larisa, Mary Silva, Ray, Chris M
What is a 340 B drug?
A drug that pharmaceutical manufacturers who participate in Medicaid sell outpatient drugs at significantly discounted prices to eligible health care organizations.
Name the 3 most common ways to be reimbursed on an INPT claim
DRG, Case rate, Per diem
Who do we send accts to review charges?
Ins code for 1199
P06
What units does Katie oversee?
Billing, D/A
What is a UD modifier?
Managed Medicaid modifier indicating 340 B drug
What is stop loss
In the context of healthcare contracts, a stop-loss clause is a contractual provision designed to limit financial exposure for payers or providers when claims exceed a certain threshold.
Name the activity code we use for the single case agreement process
RSCA
What day does Columbus dat fall on this year?
Monday, October 13