Benefits
Billing
RFMS
Abbreviations
Medicaid
100

Number of days in skilled Medicare benefit period.

What is up to 100?

100

All A/R accounts should be followed up in this time frame.

What is at least once per month?

100

This form is required to open an account.

What is an Authorization Agreement?

100

SNF

What is Skilled Nursing Facility?

100

Residents can own this many houses.

What is 1?

200

2026 Medicare co-insurance amount for days 21-100.

What is $214.50?


200

All skilled claims are required to go thru this process prior to billing.

What is triple check?

200

The check register petty cash balance should always be this amount.

What is $0.00.

200

LTC

What is Long Term Care?
200

Residents can have this amount in resources excluding one home and car.

What is $2000?

300

Number of nights required for Qualifying Hospital Stay

What is 3?

300

Medicaid claims are required to be billed with this occurrence code for a physician visit.

What is 54?

300

Checks should not manually added in the register, but use this feature.

What is Pay Vendors?

300

NOMNC

What is Notice of Medicare Non Coverage?
300

This type of insurance must be cashed or assigned to funeral home if it has a cash value.

What is Life Insurance?

400

Number of wellness days required to receive a new Medicare benefit period.

What is 60?


400

This modifier should be used when patients have exceeded the Medicare therapy cap.

What is KX?

400

This amount is the limit allowed in a resident's account.

What is $2000?

400

QIT

What is Qualified Income Trust?

400

Term used when patient is required to pay an amount to the facility per the state each month.

What is patient liability or share of cost?

500

This CMS form is to be given when the patient no longer qualifies for skilled care.

What is a NOMNC?

500

All Medicare Advantage plans are required to be billed with this type of number.

What is an authorization number?

500

This type of account can be opened when the patient is over the income limit.

What is a QIT?

500

MAWO

What is Medicare Allowable Write-Off?

500
This process is required yearly in order to keep Medicaid eligibility.

What is redetermination?

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