Medicaid
Medicare
RC9U & Finthrive
CODES (Activity, Allowance, Stat Charge, etc.)
MISC.
100

Medicaid plan code:

D99

100

What does MSP stand for?

Medicare Secondary Payer

100

What does FC stand for?

Financial Class

100

Transfer code that moves $ from one "bucket" to a different "bucket".

95 OR Record Transfers

100

What is our Tax ID#?

113243405

200

Who qualifies for Medicaid?

Medicaid provides health coverage for low-income individuals, seniors, people with disabilities, pregnant women, and children, with eligibility varying by state, income, and other factors.

200

What is Medicare Part D?

Prescription Drug Coverage

200

How do you take your rep # off an account?

Shift + F6

200

28 record code for non-governmental Billing (Regina's Unit)

2c49cd98

200

What do you put in Kronos for amount when you are entering 3/4 (up to 6 hours) of a day?

5.63

300

What does APG stand for?

Ambulatory Payment Groups

300

What is the difference between Medicare Part A and Medicare Part B?

Part A (Hospital Insurance): pays for inpatient and outpatient facility services

Part B: (Medical Insurance): pays for the services of medical professionals

300

Where can you find diagnosis codes on RC9U?

(PF3) + (PF5)  

300

BCBS Contractual Code

223115

300

Where are the Winter Olympics this year?

Milano Cortina, Italy

400

What is the Medicaid HMO Insurance code? (IP or OP)

IP: 280016

OP: 281014

400

Medicare HMO Outpatient Insurance Code

264259

400

How can you find an authorization number on RC9U?

PF2, PF6 Enter

400

What Activity Code is used when you upload an appeal?

RIAS

400

Name 4 Winter Olympics sports/events:

Alpine Skiing, Blobsleigh, Biathlon, Cross-Country Skiing, Curling, Figure Skating, Freestyle Skiing, Ice Hockey, Luge, Nordic Combined, Short Track Speed Skating, Skeleton, Snowboard, Ski Jumping, Ski Mountaineering, Speedskating

500

What does ePACES stand for?

Electronic Provider Assisted Claim Entry System

500

Which 2 diseases automatically qualify a patient for Medicare?

ESRD and ALS

500

Name at least 3 out of 4 requirements for a clinical trial on a UB04?

1. Q0 modifier

2. Condition code: 30

3. Clinical trial#: DPI (Demonstration project identifier)

4. Diagnosis code Z006

500

What is the allowance code for Non-Covered Services?

268011

500

What is the name of the NEW official mascot that was named by a Stony Brook pediatric patient? Hint: This name was announced at the Winter Town Hall Zoom Meeting in December.

Scout

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