Revenue Cycle - Billing
An institutional paper or electronic claim form
What is the "UB04"?
Candy was orginally known as Chicken Feed.
What is Candy Corn?
A confirmation of coverage
What is "Eligibility"?
Name of Disney Villain in Lion King
Who is Scar?
A payment file sent back to the provider
What is an "835" file?
State bird of Connecticut.
What is a Robin?
The United States federal government health insurance program for Americans who are 65 years of age or older
What is "Medicare"?
The continent animals from Madagascar go to
What is Africa?
Prior to submitting claims, the organization/technology scrubs a claim and checks for errors then electronically transmits claim information that is compliant with HIPAA standards.
What is a "Clearinghouse"?
Fast food chain once used the slogan "Think outside the bun.
What is Taco Bell?
A listing of every item, service or procedure that a hospital could provide
What is the "Chargemaster" (CDM)?
Name of the tow truck in Cars
Who is Mater?
This software aims to rid medical claims of errors and omissions
What is a "Claims Scrubber"?
Jim Henson is the creator of what beloved cast of characters?
What is the The Muppets?
The local coverage determination and editing system from CMS
What is the "LCD"?
Name of all 7 Dwarves
Who are Grumpy, Dopey, Doc, Happy, Bashful, Sneezy and Sleepy?
Hospital bills that have completed service but have not been billed to insurance yet
What is "Discharged, Not Final Billed" (DNFB)?
The only planet in our solar system to rotate clockwise on its axis?
What is the Venus?
Standardized code sets that are necessary for Medicare and other health insurance providers to provide healthcare claims that are managed consistently and in an orderly manner
What is the "HCPCS"?
Who the bee's sue in the Bee movie.
Who is The human race?
Document that explains the cost of services shared between the patient and the insurance company.
What is the "EOB"?
The meaning of "fn" on your computer keyboard?
What is Function?
Outstanding charges that are the patient's responsibility that have not been successfully collected which are eventually written off and sent to a collection agency
What is "Bad Debt"?
The name of the chicken from Moana
Who is Hei Hei.
Any information in a medical record that can be used to identify an individual
What is "Protected Health Information" (PHI)?
Owns the patent to Google's original search algorithm.
Who is Stanford University?
This is sometimes required by a patient’s insurance company to determine medical necessity, but does not guarantee benefits will be paid
What is "Pre-Certification"?
The name of the two evil sidekick minions from Hercules?
Who are Panic and Pain?
A claims acknowledgement from an inquiry
What is a "277" file?
Weighing around eight pounds, this is the human body's largest organ.
What is Human Skin?
A companies earnings from regular business operations.
What is a "Revenue"
Secret ingredient to the noodle soup in Kung Fu Panda
What is Nothing?