Pricers
Tool is used for Pricing ASC Claims
What is Noridian?
The message used to override d65: DENIED: SERVICE NOT COVERED BY MEDICARE.
What is AHI: ADMINISTRATIVE PAYMENT?
The Agreement ID P00000NM0M01 is billing E2225 with modifier NU DOS 6/3/2025 Locality code 5, What is the Allowed Amount?
What is $11.00?
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Code auditing system used to ensure consistent reimbursements for pricing Home Health Claims in accordance with accepted industry coding standards.
What is ClaimXten?
The scripting used when Home Health Services are not billed on the UB
What is Home Healthcare claims must be billed on a UB form and provide the correct HIPPS code, episode timing and severity points. Please resubmit the claim, providing the necessary data elements?
The Agreement ID P00095PM0M01 is billing DMEPOS E0601 RR, what is Allowed Amount for locality 98
What is $48.12?
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What is Jupiter?
Computerized patient record processing system that uses clinical and demographics data to assign IP /OP group or classification, evaluate accuracy and completeness of data, identify potential coding errors and calculate reimbursement estimates.
What is 3M Price?
The type of bill submission is required for home health processing?
What is 32X?
If out of state DME code is located and modifier is not listed on the fee schedule website, what denial is used?
What is JC4 INFO REQUEST CORRECT MODIFIER
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The tool used to locate fees for Sutter Mammography screenings
What is Physician Fee Schedule?
The DLP used if no authorization is billed on the claim or located in UM inquiry?
What is MedOps WFWM No Auth Found?
What is MedOps sequestration Job Aid?
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Who is J.K. Rowling?
The tool used to price agreement ID A00MANL0QM01
What is 3M?
What Medicare percentage does Grandcare Home Health services for PPO effective 2/14/2025 receive?
What is 95%?
DOS 06/03/2025 and provider zip 99630, HCPCS A4431 what is the fee?
Hint you did a large amount of research on using this website yesterday to find the answer you need
What is $0? (Nada)
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What is the Antarctic Desert?