A
A ________ must be used to provide due process ?
What is SIC CODE
The type of action is determined by the beneficiary's _________.
What is LAF status ?
Two types of conditional adjustment actions ?
What are suspension and termination adjustment actions
Acronyms entered in the TO column
What is subtraction entries ?
Most commonly used screen, also called the summary; used to establish or change payment lines on the MBR.
What is the HST screen (HISTORY SCREEN)
LAF status changes from no payment due under this condition to a payment due on a future date.
What is suspense to deferred ?
This facility allows summarization of a different continuing monthly rate one month beyond the COM.
What is drop-down facility?
What was ______ to the beneficiary is what the beneficiary actually received in hand.
What is PAID ?
Coded on a termination or suspension line will prevent MADCAP from posting an overpayment
What is OR SIC ?
changes a beneficiary's LAF status from being due a future payment to not being due a payment
What is deferred to suspense
Calculate the MBC with SMI involved ?
MBA $2262.70
SMI $135.50
What is $2262.50.
The BA must always be aware of _______ is being coded in the HST screen and ______ it will affect the history field on the MBR.
What is what / how
Three event codes that indicate current pay status on the PHUS
What is event code 014, 042, 044
facility used to reinstate an erroneously terminated beneficiary for LAF T or X.
Used when there is no break in entitlement and the type of the is not changing.
What is RESUM
if the termination is due to the beneficiary' s death , the overpayment is posted to the _______ field on the MBR.
What is SPC PAY ?
What event code will be posted to the PHUS record when using an addition acronym to issue an underpayment ?
What is EVENT 042 PMA CHECK
This screen can be used , to determine the difference between what the beneficiary was actually paid, and what the beneficiary was due for a specific period of time ?
What is PWST (payment worksheet screen ?
the beneficiary's LAF status will change from a non-payment LAF to current payment LAF status.
What is a suspense to current
What is the RFST termination code for
Terminating a CDB disability cessation
What is T 6 CNLCDB ?
Code input on the HST screen when putting a beneficiary into current pay when the prior LAF was suspense, termination , or deferral.
What is ARC of R.
List the events on the PHUS that build proration events ?
What are Events 035-038, 138, 140?
What special entry will be used to remove an overpayment of $950.00 from Thomas Ward's MBR ?
what is AB ?
What does the BA need to code in the MR field to reinstate the beneficiary from terminated to current status with a new DOE ?
What is REENT ?
Alpha SIC CODE used to take a beneficiary out of deferred status ?
What DE SIC ?
What MBR field contains the SAMBA, LEMBA, OTRAN, OTPIA, LFMBA, SFMBA ?
What is a DE DATA?