Resources
SOP's
What action is Needed?
100

If I receive Z3A.15 on the TRF what resource can I use to determine the what trimester the patient is in?

What is the pregnancy tool.

100

This patient address is:

PO BOX 22440 OOC

Burlington, NC 27216

What is the Out of Country SOP

100

The TRF has Z33.1 and Z3A.12 for a pt with DOB 7/12/1997 what is your action and documentation?

What is Translate to Z34.91, Dxt/trf z34.91

200

First resource when having trouble finding a path for a code in Optum.

What is the FAQ.

200

The criteria needed to use system information for updates.

Name Number and Demographic SOP

200

When you are given a diagnosis code of S20.111 and the test were C&S(culture & sensitivity) what would the HLS code be?


Daily Double: What would your documentation be?

What is S20.111A













Daily Double: DXF per test logic S20.111A

300

Method for Coding: End stage CKD, DM2 and Anemia for one patient

What are combination codes

300

You are given a male diagnosis for a female patient what SOP would check for special scenarios?

What is the Age/Gender SOP

300

The Physician information is needed and the TRF has the authorizing physician, the referring physician and ordering physician, what would your action be?

What is Update using the ordering physician per the physician hierarchy.

Review the Regular hierarchy:

1) Billing comment (client note)

2) Ordering  (or OP, or Ordered By)

3) Provider or Providing Physician

4) Approving

5) Authorizing

6) Referring

7) Attending

8) Created By

400

What are the 3 places to check for abbreviations?

What is Optum search index, abbreviation spreadsheet and DOS. 

400

The TRF is marked Patient Bill and Private Insurance is provided, what SOP would you use?

Bill Code Selection Guidelines (BCSG)

400

You have a specimen with Z33.1 and in Mystyle you see in bdyl:

4/5/2024, Fax sent

4/22/2024 Account call on/left msg

What is your next action? 

What is make contact and release the specimen to be bill with or without the updated diagnosis code. 

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