Georgia
The Claim Game
Legal Eagle
Take Your MEDI-cine
Leadership
100

This Team played in the national college football championship and won.

What is University of Georgia (UGA)

100
A request for review of an insurance claim that has been underpaid
What is an appeal
100
The job title abbreviated as ALJ
What is an Administrative Law Judge
100
It's what CMS stands for
What is the Center for Medicare and Medicaid Services
100

Leaders are encouraged to use this centralized program to celebrate employee milestones, nominate employees for awards and recognize SERVICE champions. Remember to use those points!

EHC Recognize

200

As the most comprehensive academic health system in Georgia, Emory has over 250 provider locations and how many hospitals?

What is 11 Hospitals

200

Don't giggle - this tool was used in the past to track pending or resubmitted claims within the office?

What is a tickler

200

It's known as the FTC

What is the Federal Trade Commission

200
It's Medicare's first level of appeal
What is redetermination
200

Data shows the most effective leaders recognize they can grow and improve by being open to RECEIVING this type of information from their team of employees

Feedback

300

This Artist is known for the popular 1960s song “Georgia on Mind”

Who is Ray Charles

300

A report you run that tells you which claims are outstanding by how old they are, aka 0-30, 31-60, 61-90, 91-120, etc.

What is an  AR aging report

300
You call this office when your insurance company is behaving badly (ignoring claims, making payments too late)
What is the State Commissioner
300
This notice is signed in advance by a Medicare beneficary indicating that a service is not covered
What is an Advance Beneficiary Notice
300

On the intranet, you can access your team’s engagement survey results, review training videos and access action plan resources. The Employee engagement survey is administered by this Healthcare platform

Press Ganey

400

This is the nickname for the state of Georgia

What is The Peach State

400

A review of a patient's case by one or more physicians to evaluate another physician

What is peer review

400

This virtual health service became popular during the Pandemic. It is important to understand the multiple regulations regarding _ 

What is Telehealth

400
A supplemental insurance for Medicare patients that may cover deductibles and copayments
What is Medigap
400

Located in Epic, leaders can use this resource to compare Emory’s revenue cycle performance with other Healthcare organizations

The Financial Pulse

500

As the largest pecan producing state, this city in Georgia has thousands of Pecan Trees

What is Albany

500

These type of claim errors are provided by Emory’s clearinghouse

External Errors

500

Federal law that applies to hospitals and emergency departments and all the providers, nurses, on-call specialists and hospital administrators who work there.

What is (EMTALA = Emergency Medical Treatment & Active Labor Act)

500

What we call Medicaid in California

Medi-CAL

500

This web-based collaborative communication platform allows leaders to share sites, and documents with their team and other departments.

Sharepoint

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