AHCA
Millenium/Experian Process Updates
Private Pay
FC Adjustment Requests
Upfront Payment Process
100

All itemized billing requests must be provided within this many days...

What is "7 business days" from the receipt of request?

100

Updates to patient or insurance information must be made in this system...

What is "Millenium"?

100

Health Care providers and facilities are required to provide this to patients who do not have medical insurance or are not using medical insurance...

What is a "Good Faith Estimate"?

100

Brackets or parenthesis are placed around the adjusted amount when you are trying to do this...

What is "increase the balance"?

100

Discussion about and set-up for Copay Payment Plan occur at this point for the patient...

What is "at the time of admission"?

200

Hospital personnel have this many days to complete and upload the itemized coversheet... 

What is "3 days"?

200

Updates made in Millenium show up in PATCOM after this much time...

What is "in real time"?

200

The Private Pay patient is to pay the lesser of the GFE, CMG or this percentage of billed charges...

What is "75%"?

200

The Activity Code for all adjustment types is this...

What is "597"?

200

Use this level 2 PIC code when patient has agreed to upfront copay and the account was sent to agency prior to insurance payment... 

What is "COPA"?

300

The clock for the AHCA time requirements starts at this point...

What is "the date the patient is discharged"?

300

You should enter eligibility requests in this system before trying Experian...

What is "Millenium"?

300

Private Pay accounts use this Benefit Plan Code...

What is "PVT"?

300

The Status Code for write-off adjustments due to Timely/Auth is this...

What is "500"?

300

Add this level 1 PIC code when the patient is with agency and the insurance has now paid...  

What is "COPP"?

400

Price Transparency documents can be located in the Business Office share-point site under Price Transparency and found in this folder...

What is "Itemized Billing Requests"?

400

To access Millenium, select this icon in Cerner...

What is "Revenue Cycle"?

400

To view a Good Faith Estimate, search here...

What is "in Cerner in the Power Chart option in Admission Documents"

400

With True-Up adjustments, the T-Code is based on this insurance...

What is the "Primary Insurance"?

400

Patients with MCR as secondary, MCD, Worker Comp, Veterans and this group are excluded from the Upfront Payment Process...

What are "QMB eligible patients"?

500

These two types of requests do not require HIPAA...

What is are "Subpoenas and High-tech requests"?

500

When selecting a drop-down field in Millenium, you should always click in an open text field before scrolling down for this reason...

What is "your selection in the drop-down will change as you scroll"?

500

If there is a debited difference between the GFE quote and the true rate for the PVT stay, an adjustment needs to be made using this T code...

What is "A106"?

500

With a Write-Off adjustment, the T-Code is based on this insurance...

What is the "insurance with the denial"?

500

Use this level 2 PIC code when patient responsibility was sent to the agency after insurance payment... 

What is "COLP"?

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