Month End Close
What day must you close PCC?
The 4th business day
What type of bill is a 217?
An adjustment claim
What condition code is used to indicate a private room when a semi-private room is not available?
38
What does DSO stand for?
Days Sales Outstanding
What amount for a write off requires an asset search?
$3500
What day must triple check meeting be?
The 3rd business day
Name one insurance company where a pharmacy exclusion is already included in our contract and an additional authorization is not needed?
Cigna and Banner Health Network
What is the Medicare part B deductible amount for 2023?
$226
What is an IPA?
Interim Payment Assessment
What is the maximum asset limit to be eligible for the Medicaid program?
$2000.00
What day are internal controls due?
The 5th business day
What value code is required for a Mercy Care LTC bariatric claim?
A8 - along with the weight of the patient in kilos
If someone is under 65 and eligible for Social Security Disability Insurance, how long must they be considered disabled before they are entitled to Medicare?
24 months
What does NDC stand for?
National Drug Code
What is the annual cap for PT/SLP part B services?
$2010.00
Before
What is the difference between a MAOLP-pdpm and MAOPDPM payer
MAOLP-pdpm requires a HIPPS on the claim, but pays at a level. MAOPDPM requires a HIPPS and pays the HIPPS rate.
What revenue code is required on a Medicare claim to indicate a LOA?
0180
Contractual Obligation
Can an allowable write off go on the under $500 log?
No
You must run these three reports to verify days by payer, and grand total days match?
Who is the payer of last resort?
Medicaid
What occurrence span code is used with the qualifying hospital stay dates?
70
What does CARC mean?
Claim Adjustment Reason Code
All write offs require these 4 reports
1. Facesheet 2. Transaction History 3. Aging 4. Collection Notes