Reimbursements
This is the total paid amount + any patient responsibility and/or sequestration applied.
What is the "allowed amount"?
This is the location you would navigate to in OHPAC to review OLR correspondence received.
What is "DM view"?
This is the SharePoint portal utilized for credit balance that houses the Supplier list, Recoupment Tracking, Rate Increase Portal, etc.
What is the "CB Portal" portal (Credit Balance Portal)?
This is the level 2 UFC added to accounts that have a recoupment posted.
What is "RCOU"?
This is the amount of times we attempt to submit a refund to the insurance before we adjust the credit off the account.
What is "2 times"?
This is the "Cost of living Adjustment" abbreviation.
What is "COLA"?
This is the category selected when adding a refund request note in OHPAC.
What is the "Request" category?
This is the portal utilized when a rate increase is discovered and needs to be review for an update in the system.
What is the "Rate Increase" portal?
This is the level 2 UFC added to account that have a recoupment posted after a refund was submitted.
What is "RFRC"?
This is the amount of days that we allow for a recoupment happen.
These are any charges added/credited to the encounter after the final bill has dropped.
What are "Late Charges"?
This is the comment code selected when adding an insurance refund request note in OHPAC.
What is "INS RFND RQST" (Insurance Refund Request) comment code?
This is the portal utilized when the insurance company states they will recoup their payment and the account needs to be added for tracking.
What is the "Recoupment Tracking" portal?
This is what it is called when an overpaid amount is applied towards a payment needed for another encounter
What is an "offset"?
This is the form needing to be completed if the insurance refund address is not on file in our system.
What is the "Vendor Form"?
This is the next step we would take on an account if late charges were added and we were expecting a per diem rate.
What is a "late charge write off"?
This is the comment code selected when adding a patient refund request note in OHPAC.
What is "GU REFUND RQST " (Guarantor Refund Request) comment code?
This is the portal where Vendor setup forms are added for review.
What is the "Pending Vendor Requests" portal?
This is the adjustment t-code used when a refund has been returned two times.
What is "A110"?
This is the drop down option used when you need to add a Refund UFC Code to an encounter.
What is the "Actions drop down"?
This is the next step we would take on an account if late charges were added and we were expecting a percentage of billed charges.
What is, "rebill a corrected claim with late charges added"?
These are the 4 mail types of credit balance worklist in OHPAC.
What are "Insurance Aging, Escalation, Ins Credits, Refunds" worklist?
This is the worklist located within the Cash Review portal that is utilized when a duplicate posting needs reviewed.
What is the "663 Worklist"?
These are the 5 pieces of information that should be selected or entered when completing an Insurance Refund Request in OHPAC?
What is "Refund Amount, Refund Address, Refund Reason, Billing Period, Insurance Claim Number"?
These are the 2 pieces of information needed from the vendor list when adding refund UFCs to an encounter in OHPAC.
What are "VENDORID & ADDRNUM "?