OHPAC/MILL
PAYMENT RECONCILIATION
Claim Denials/UFCs
T-CODES/ADJUSTMENTS
100

This is used when requesting a claim to be sent to the insurance company.

What is "RB - Rebill"?

100

Batch #50200 would be found in _____, while Batch# 80200 would be found in  _____.

What is "IPscan & HealthLogic"?

100

UFC stands for this...

What is "User Financial Category"?

100

When requesting an adjustment this is what follow the first set of asterisks....

What is the "Receivable Number"?

200

Use this option under the "Actions" link to move a balance/amount from one payer to another

What is "Transfer Balance"?

200

This is where you could review previous contracted rates.

What is "HSM - Hospital System Maintenance"?

200

This level of UFC used to identify the issue on the account...

What is "Level 2"?

200

This is what follows next after the dollar amount in the adjustment format .

What is the "BP date"?

300

.

What is ""?

300

This is the total amount that the health insurance company believes the hospital should be paid for services provided.

What is "Allowed Amount"?

300

Use this Level 2 UFC when coverage has termed and no new coverage has been identified.

What is "COTM"?

300

Choose this option from the Actions menu when requesting an adjustment...

What is "Add Comment"?

400

Millenium is used to check this important status for MCR and MCR Adv encounters.

What is "QMB"?

400

This is the 2% Federal Reduction that applies to Medicare and Medicare Advantage plans.

What is "SEQ - Sequestration"?

400

This is the Level 3 UFC used when we had to send a letter to the patient....

What is "LTPT"?

400

Brackets or parenthesis placed around the adjusted amount in a request indicate this...

What is "the balance will be increased by this much"?

500

.

What is ""?

500

These are the next 3 action steps after primary has paid correctly per contract and the assigned patient responsibility is already in the secondary bucket.

What is "Update FC, Request Rebill to Secondary Insurance, and Attach Prime EOB to Rebill Attachment Portal"?

500

When an account needs additional assistance from the facility, or must notify the facility of any account issues that have a high financial impact, the account information should be added here...

What is the "Action Items Log"?

500

This is the T-Code & Status used to submit a sequestration write-off for a Medicare Advantage inpatient account...

What is "X418"?

M
e
n
u