The letter G in the result code of a MED LL record means
What is the Group is primary
100
This rule states, “when determining what contract is primary for any children of married persons who both have family coverage the ______ _____ applies.”
What is the Birthday Rule
100
This bill code description is Inpatient, SKF, Admit through discharge
What is 211
100
Coding would you expect to see billed by an Ambulatory Surgery Center Claim
What is HCPCS or CPT
100
Four digit codes appearing on UB-02 forms
What are revenue codes
200
The 2015 Medicare Part A deductible
What is $1260
200
The 1st determination for dependent children of divorced parents
What is what is a court order
200
121 is an example of ________
What is a Room and Board revenue code
200
This facility’s main function is to perform surgical procedures on an outpatient basis.
What is an Ambulatory Surgical Center
200
450 represents
What is an emergency
300
Inpatient/ Hospital coverage
What is Medicare part A
300
Type this in ghost field after 619 edit appears
What is 31
300
Diagnosis or condition that does not usually require an inpatient pre-authorization
What is pregnancy/delivery
300
a must have prior to processing a high imaging or sleep study claim
What is a preauthorization or prenote
300
Administers the Medicare and Medicaid programs
What is Center for Medicare and Medicaid Services
400
Copayment for the 61-90 days of confinement
What is $289.00
400
Code(s) used to reject a claim for lack of an EOB
What is R12690 or R12390
400
See this column for days and nights
What is the U/O or units of occurences
400
Rule for outpatient services that extend and allow either the inpatient general acute care per diem rate or the
amount billed
What is the Midnight Rule
400
E suffix assigned by the SSA to an individual identifying him/her as this type of Medicare beneficiary
What is widowed Mother-First Claimant
500
This occurs three months prior to the month in which one turns 65, and extends three months after the birthday month
What is the a. Initial Coverage Enrollment Period
500
When nothing else fits utilize this
What is the Default Rule - the effective date rule
500
Unrequested stay that should be paid will have this number in the ___ of the BA screen
What is a 4 in the Utilization Table
500
This edit might appear on an outpatient claim that spans multiple days if the facility is exempt from both the midnight rule and the 24 hour rule
What is the NRJ
500
Tricare, Individual, and Student health
What are examples of plans that do not coordination