Revenue Cycle
What does A/R stand for?
Accounts Receivable
Name the two types of WQs for Follow-Up
Denials
No Response
The number of denials discussed in class
10
How many liters are in a gallon?
3.78 Liters
The state Capital of North Carolina?
Raleigh
The explanation of benefits
EOB
Name for Federal Funded Payers
Government Payers
This denial happens when the permission code is left blank?
Authorization
Who was the 42nd President of the United States?
Bill Clinton
The state bird of NC?
Cardinal
This is a acronym for Current Procedural Terminology
CPT
Name two errors that cause Follow-Up
Registration
Billing
Coding
Eligibility
Credentialing
Denial Code 16
Missing Claim Info
How many nickels make up a $1.25
25
Name the states that touch the state of N.C.
Virginia, Tennessee, Georgia, South Carolina
Two ways a claim can be filed
Paper, Electronic
Defined as claims that were received and processed
(adjudicated) by the payer and a negative
determination was made.
Insurance Denial
Amount of time most commercial payers allow for timely filing?
1 year
What is the state capital of Arkansas?
Little Rock
North Carolina is named in honor of what King
Charles l of England
The steps of the revenue cycle is?
Patient calls for appt.
Check In/Registration
Verify Insurance
Patient Receives Services
Check Out/Co-Pay
Charges Captured
Receive Payment
Name 7 areas that support follow-up
Availity
Credit Processing
Cash Posting
Coding
Billing Support
Resolution
Training
Name all Top 10 Denials
Missing Claim Info.
Bundled
Medical Necessity
Authorization
Enrollment
Timely Filing
Eligibility/Registration
Additional Documentation
Non-Covered
Coding
These 7 continents make up the Earth?
North America, South America, Asia, Africa, Europe, Australia, Antarctica
Two Nicknames for NC
Old North State
Tar Heel State