Whadya Mean?
Are you sure this is English?
Who Duzit?
US Numbers
PCA
100
ZPIC
What is Zone Program Integrity Contractor?
100
IPPS
What is Inpatient Prospective Payment System?
100
They set up FISS Access
Who is User Provisioning?
100
October 1, 2013
What is when CMS 1599 F became effective?
100
The CMS required frequency of targeted file education
What is every 6 months? (Remember NHS recommends every 3 months)
200
SNF
What is Skilled Nursing Facility?
200
CMS
What is the Centers for Medicare and Medicaid Services?
200
They work claims billed to other insurance first
Who is MSP (Medicare Secondary Payor)?
200
July 30, 1965
What is the day that Lyndon B Johnson signed into law the bill that led to Medicare and Medicaid?
200
Denied FISS claims (other than SNF) are sent here
What is MDENY?
300
CERT
What is Comprehensive Error Rate Testing?
300
PCA
What is Progressive Corrective Action?
300
They look at previously denied claims
Who is the Appeals team?
300
Where information on signature guidelines is found in the IOM
What is Medicare Program Integrity Manual Chapter 3 section 3.3.2.4?
300
Probe files are evaluated at this time
What is at the end of the file, or after 40 or 100 claims?
400
CMG/HIPPS
What is Case Mix Group/ Health Insurance Prospective Payment System?
400
OIG
What is Office of the Inspector General?
400
They serve us food
What is Sodexo?
400
G0277
What is the HCPS code for Hyperbaric Oxygen Services? (HBO)
400
The number of claims reviewed for a service specific probe
What is 80-100?
500
RUG
What is Resource Utilization Grouper?
500
SNF
What is a Skilled Nursing Facility?
500
Ask me about claims that don't process
Who is support staff?
500
October 1, 2015
What is the date that ICD-10 became effective in the US?
500
The time that a targeted review ends
What is when results show improvement or response to education?
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