Claims
Revenue 101
Mecklenburg County Finance
Team Meetings
100

This information is populated in claim field 21 of the CMS Claim Form

What is Diagnosis or Nature of Illness or Injury?

100

Average number of days it takes a practice to get paid

What is Days in A/R?

100

Mecklenburg County Finance is comprised of the following departments 

What is DFS - Departmental Financial Services, 

Central Finance and Procurement 

100

In our last team meeting our HIPPA Topic was....

What is PHI - Protected Health Information 

200

The name of the "house" that transmits claims from the EMR to the Payor

What is Clearinghouse?

200

Total amount owed to practice for services rendered by insurance or patients that is older than 30, 60, 90, 120.

What is Aging Buckets?

200

This division is responsible for encumbering contract.

What is Central Finance

200

The Medicaid Claim reprocessing will apply this percent of increase..

What is 40%

300

The claim must reflect what 2 components when you perform a charge correction to a previously submitted claim. 

What is 7 and Original Claim number

300

Our 7 KPI's (Key Performance Indicators)

Net Collections

POS/Self Pay Collections

Net A/R >90,120,150+

A/R Days Outstanding

Denials

Charge Lag

Bill Lag


300

In our Finance All Hands Meeting we've been introduced to ORP. ORP is an acronym for.....

What is Organizational Reset Plan?

300

The WorkPlans introduced in our last meeting are related to what type of goal?

What is SMART?

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