Concuity 101
What is the default view when first log into Concuity?
What is the Home screen
What term describes the contractual discount amount that adjusts the expected reimburstment amount from the payer?
What is Adjustment
Who assignes your workqueues work list?
Your manager/leadership
Where do you access Concuity from?
From the PSC Apps page
Where do you find the EOB/ERA?
The 835 Tab
This tells you where the account is in the payment compliance flow.
What is the Status Code
What term refers to the amount Concuity calculates based on total charges and the iPlan formulas in the payer contract?
Expected Reimbursement
How is the Reason Code assigned?
By the user
Once you are done working an account, what do you do next?
Click Get Next
Patient Demographics can be found in what tab?
The Patient Tab
Which patients can be linked in Concuity?
Mom and baby
Concuity calculates what we are owed based on the contract between whom?
Hospital & Insurance company
Are all discrepancies worked regardless of amounts?
No, we work accounts within threshold
Where do you access work for the day?
You click on the Work Queues tab
Which tab houses all the details of the calculation performed by Concuity?
The Calcs Tab
What functions do iplans control?
Financial class, contractual adjustments, and rate scheduled
How is the expected reimbursement calculated in Concuity?
The provider contracts are loaded into the system and creates formulas per the iplan
What do the Reason codes control?
The activity type options
Where can users view all the notes on an account?
The Activity Summary button under the Activities Tab
Which tab houses the charge and coding information?
The Details Tab
A valid discrepancy or denial means what?
We expect money to exchange hands
Is the amount due in Concuity the same as the A/R balance on the account?
No, Concuity tracks the discrepancy between what we were paid and what we expected. A/R balance is the actual amount due.
How do you generate a reconsideration letter to send to the payer?
Through the Correspondence button under the Activities Tab
What do you do if you cannot work the next account that comes up?
Click Get Next and select a Bypass reason
Where can you find the authorization, if there is one?
The Payer Tab