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Private collection letters must be generated and mailed at least this often.
What is monthly?
Medicaid skilled plans must be billed for these many days, even without an auth.
What is 30?
These two criteria must be met for a resident to get a home maintenance deduction.
What are proof of shelter expenses and an MA51 that indicates that the resident may discharge home in less than 180 days?
Bed debt begins accruing once a balance passes this bucket.
What is the 90-day bucket?
This condition code and diagnosis code must be on a Medicare B vaccine claim.
What are A6 and Z23?
Residents should be advised of their out of pocket expenses within this timeframe.
What is 48-72 hours?
This number is at the end of an adjustment type of bill.
What is a 7?
This report will show you which Medicaid plan needs to be billed for specific DOS.
What is PROMISe EVS or PROMISe eligibility?
This application will show you your collections, bad debt and DSO information.
What is Dashboard 2.0?
This contact type will receive the private statement.
What is Responsible Party?
When a Medicaid application is pending, this payer is responsible for copays and deductibles.
The administrator must sign this before a triple checked claim is billed.
What is the attestation?
New Medicaid claims older than this bucket must be billed using a special process.
What is 180 days?
What is the Medicare Claim Pricer?
All primary insurance payers must be admitted with this.
What is an authorization?
This is the minimum private balance amount to send to collections.
What is $500?
Occurrence span codes are updated on part B claims using which report?
What is the UB04 Detail report?
DOUBLE JEOPARDY!
These three letters on a Medicare verification indicate that the center cannot bill the resident for co-insurance or copays.
What is QMB?
This tab on the PACS Payer Tree Tool will show you how to research where to find 1025.000 GL amounts.
What is Claim Support?
Highmark Wholecare claims are reviewed in this provider site.
What is Navinet?