INSURANCE
What does ABN stand for
Who is Advanced Beneficiary Notice
What rejection codes are used to describe the patient not being eligible for most payers
Who is PR26/PR27
What document are you to refer to when working denials ?
A/R procedure book
What should you do when you receive a medical necessity denial for a test with a GZ modifier.
Adjust as MNNM
What action code are you to use when confirming patient responsibility ?
Who is CPTR
Government Medicaid and Medicaid HMO plans are always secondary to what insurances ?
Who is ALL commercial plans , and All Medicare plans.
What rejection code is used to describe most untimely filing denials
What action code are you to use when you are sending a appeal to the insurance.
Who is APP
What adjustment code is used for frequency denials
"FREQ"
What do you get when you combine a fish with an elephant?
Swimming trunks.
What is the payer code in LBS for UHC Medicare Advantage (Secure Horizons)
What rejection code is used to describe most duplicate denials
When the insurance denies a test for experimental , and you've verified that the patient isn't liable for the charge , what adjustment code do you use ?
Which letter of the alphabet is the coolest?
What is Iced 'T'.
What is do the Aetna Medicare ID numbers usually start with.
Who is MEB
What rejection code is used to de describe precertification / authorization missing for most payers
What are you to include in the subject line when sending a follow up to the payment posting follow up email ?
Accession , Payer Name, and check number
What adjustment code is used to adjust the contractual obligation amounts that are required from the insurance as an in-network provider.
What disney movie recently won a Oscar in 2022 and it's theme song was #1 on the hot 100 billboard charts.
"Encanto"
What diagnosis codes are traditionally not covered by Medicare or Medicare HMO'S
What is the remark description "Procedure code incidental to primary procedure " equivalent to ?
What can be considered proof of timely filing ?
When we received the same test to run but from two different offices or same test on same day from same physician what should we do next ?
Adjust test using adjustment code "DUP"
These days, nicknamed after a popular animal, occur from July 3 to August 11
What are the Dog Days of Summer?