New Hire Review

Indigo

100

What Dictionary number can you find CPT Codes

Dictionary 1

200

What Paycode is used to identify a “FSC Flip”

70

300

What do the following Column indicators signify?

RET

TRX 

TKR  

REP 

RET – returned due to error

TRX – transferred from another user/area

TKR – Returned from a tickler status

REP – Repeated as the same error in Payer Edits or Rejections

400

What are the 7 different views found in the AR Worklist?

• Rejection Open: This worklist will show all invoices that have denials that are ready to be worked
• Rejection Pending: This worklist will show all invoices that have been denied, but have a “pending” status (IE an action has already been completed).
• No Activity Open: This worklist will show all invoices that have not been denied and are in an Open status
• No Activity Pending: This worklist will show all invoices that have not been denied and are in a Pending Status
• Invoice Other Open: This worklist is used for special projects/worklists.
• Invoice Other Pending: This worklist is used for special projects/worklists.
• Cross-Coverage: This view will allow users to see secondary worklists assigned to them (i.e. if you are helping someone else on their worklist)

500

List 3 “dropdowns” from the Preview pane and what information can be obtained

• Last Outcome, Last Note Type, Last Note Detail, Rejection Detail, Patient Demographics, Invoice Details, Registration Insurance, Registration Other Numbers dropdown”

Medical Terminology

100

What is an EOB?

Explanation of Benefits 

200

What is the difference between a Secondary, Supplemental and Tertiary?

• Secondary Insurance: Insurance coverage that is available in addition to any primary policy that an insured may carry.
• Supplemental: Extra or additional insurance that you can purchase to help you pay for services and out-of-pocket expenses that your regular insurance does not cover
• Tertiary: Third insurance coverage after primary and secondary insurance has paid.

300

What is Pre-authorization?

The process of obtaining approval from a health plan prior to services being rendered.

400

How are claims processed when a provider is…?

Participating In Network :

Not Participating Out of Network :

Participating In Network – Pays based on the fee schedule

Not Participating Out of Network – Pays based on Reasonable and/or Customary Charges

500

What is the difference between Diagnosis and a CPT?

• Diagnosis – Is the identification of the nature of an illness or other problem by examination of the symptoms
• CPT – Is the medical services performed by health care providers   

Intro to CBO

100

What is the difference between the M Drive and the U Drive?

• M Drive is a shared drive 
• U Drive is for individual to each person and will follow the user to any computer

200

Which is an example of a “Don’t” for email etiquette?

• Including a salutation
• Including a signature
• Typing in ALL CAPS
• Using a subject line

Typing in ALL CAPS

300

Where can you find CBO Workflow guidelines?

QOPI folder on the M drive

400

What website allows you to review coding proof and modifier/DX issues?

Codify

500

Which 7 systems can you locate medical records in?

AEHR

Sunrise

Syngo

Carestream

OneContent

Powersign

Cardiology Image Viewer

Hospitals

100

What is the difference between the Medical Record Number and Patient Account Number?

• A patient gets one MRN per facility
• A patient gets one Patient Account Number per visit/encounter/stay in each facility

 

200

Which Hospital(s) utilize the Eagle application?

Cohen, Long Island Jewish (LIJ), Zucker Hill Side

300

Name four of the Hospitals that use the Invision Application?

Manhasset, Syosset, Glen Cove, Forest Hills, Plainview, Southside, Lenox, Peconic

400

What hospital system/application would you find a visit for a Syosset patient?

Manhasset

500

What does it mean when an account number begins with "SF"?

This means visit interfaced via Soarian, not the facility

Applications & Websites

100

How do you open AEHR?

An application through Citrix

200

If you have co-surgeons, how many operative reports should you expect to find?

If you have a surgeon and an assistant surgeon, how many operative reports should you expect to find?

If you have co-surgeons, how many operative reports should you expect to find? 2

If you have a surgeon and an assistant surgeon, how many operative reports should you expect to find? 1

300

In CARE, what does “In-Process” mean?

• In Delegation - the paperwork to get the provider enrolled to become participating has been sent to the carrier

400

What are the different ways you can search for a patient’s account in Syngo?

• Patient name or Facility MRN (removing the two-letter prefix)

500

What information can be found in CareStream that cannot be obtained in Syngo?

• Radiology reports for Peconic