Double Check
Helps and Tips
Remark Codes
Just for Fun
Misc SAM
100
When doing this workaround, you should always double check your allowed amounts on the payment screen, because this trick does NOT always work.
What is dashing off the blank line in EDS
100
This Job Aid offers a user friendly flow chart that will assist you in determining who pays primary.
What is the CES and Medicare Job Aid?
100
If Medicare indicates the amount is provider write-off, the processor should populate the NOT COV field with an amount equal to the CHARGE field of the service line using what remark code?
What is remark code UW?
100
This gets wetter when it dries.
What is a towel?
100
"SAM" is actually an abbreviation for this program.
What is SMART AUDIT MASTER
200
Carefully checking these two things prior to releasing your claim can greatly reduce your chances of a Medicare/Medicaid error.
What are the allowed amounts and remark codes?
200
This P&P offers a wealth of information on the guidelines for determining the primary payor when a member is eligible for Medicare due to disability.
What is the Medicare Disability P&P?
200
This remark code should be used on all complimentary plans where UHC is paying prime.
What is Remark Code V1?
200
These two things are often paired together as opposites One will fall, but does not break. The other breaks, but does not fall.
What is night and day?
200
The title "SME" actually stands for this phrase.
What is Subject Matter Expert
300
Double checking these 4 items on the EOMB will help prevent an error.
What are: Allowables, non-covered amounts, patient responsibility, and paid amounts.
300
This is a P&P that helps in processing Medicare claims.
What is Medicare Manual?
300
This is an appropriate Remark Code if a reconsideration is done for previous denied for patient responsibility.
What is Remark Code QG?
300
This word, from the English language, becomes shorter when lengthened.
What is "short"?
300
During a recent "Get to Know" email, Troy Sedlacek was pictured geared up for this sport.
What is hockey?
400
This is where the MEOB and other important processing information can be found.
What IS Idars/ Edss?
400
This is the first step to take when processing a Medicare claim.
What is pulling up the Medicare Decision Tree?
400
The following are Medicare denial codes for Patient Responsibility where the charge does not meet medical necessity: B4 42 B15 50 57. We will not cover, and this is the correct remark code to use.
What is Remark Cod 3D?
400
This word can be written forward, backward, or upside down and still read from left to right.
What is noon?
400
We have a group within SAM with the initials EWC. EWC stands for this.
What is Employee Welfare Committee?
500
We check this to see if we are prime or secondary to Medicare when the EE is still active.
What is CES for group size?
500
This offers you a user friendly flow chart that will assist you in determining who is primary.
What is CES and the Medicare job aide?
500
We would use this remark code when we are estimating Medicare for patient in a VA facility.
What is UR?
500
DAILY DOUBLE DAILY DOUBLE DAILY DOUBLE This is an unusual paragraph. I'm curious how quickly you can find out what is so unusual about it. It looks so plain you would think nothing was wrong with it! In fact, nothing is wrong with it! It is unusual though. Study it, and think about it, but you still may not find anything odd. But if you work at it a bit, you might find out! Try to do so without any coaching!
What is the letter "e"?
500
We would perform this to stop a check from going out.
What is a P71.
M
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