HOW to's
Who do we email when we need a payment moved in RC9U?
Leonor and co. in cash posting
Who would we email to review INPT coding?
Stacie C
Where do we keep insurance forms? ie reconsideration forms, appeal forms, or portal access forms
W drive or OneNote
What is the activity code used when an itemized bill is sent to the insurance?
IBSI
This chocolate is named after a French novel that highlights the adventures of swordsmen.
3 Musketeers
How do you COPY and PASTE using hot keys?
Ctrl + C to copy
Ctrl + V to paste
What is the minimum threshold for escalating accounts to CDM?
$500.00
What do you do if the ins rep you are speaking with gives you inaccurate information?
Ask for Supervisor, on shore rep, or hang up and call back for a better rep.
What is the JZ modifier indicate?
Entire vial of drug was used. IE no waste
"We don't talk about _____?"
BRUNO
What is the demand function code used to demand either outpatient bill or unitized bills?
SEPI or BLUI
What unit is responsible for working accounts with experimental denials?
Denials and Appeals
Where can you find an authorization # in RC9U?
Notes in beginning of encounter or PF2, PF6
What does the UD modifier represent?
340B DRUG
Who was experiment 626?
STITCH
What is a SCA? And which dept. is responsible for accounts requiring a SCA?
Single Case Agreement
SCA unit/ Bonnie G
Name 3 things required in the emails for drug invoice requests:
NDC #
Name of drug
HCPCS
DATE
If patient is retired, over 65, and has Medicare. Their spouse is still working at job with more then 20 employees and carries a commercial insurance. Which insurance would be prime?
Commercial Payer
What is the manual allowance code used to move money from insurance to patient?
503151
Name the 3 associate directors in PFS
Elizabethann Pistone
Thomas Insinna
Katie Desposito
Adding H08 to an account ensures what will occur on the account?
The the account will be reviewed for financial aid eligibility.
What is the name of the unit and/or the supervisor of the unit that handles billing emblem claims?
Medicaid claims?
Non-governmental billing/ Regina C
Governmental Billing/ Taylor K
What is the insurance plan code used for Emblem Dual Enhanced plan?
M73
What is the stat code for no authorization?
38008520 or 38008546
Who is the regional director of patient financial services?
Scott Mathesie