BOX Functionality
In what folder in BOX do you create a folder for your payment suspension case?
Inventory of Payment Suspension
What does UCM stand for?
Unified Case Management
What is a payment suspension?
The withholding of current and future Medicare funds or payments while a CMS contractor review spreviously paid claims to determine the existence and amount of an overpayment, or until the resolution of an investigation of a credible allegation of fraud.
Who is the third level reviewer on regular payment suspensions?
Sherri
Find the PSP and NPI of this provider,MICHAEL WILLIAMS.
PSP-250411-0000*
19924765**
What are the two types of payment suspensions?
RIO - Reliable Information of Overpayment
CAF - Credible Allegation of Fraud
Who are the OGC representatives for Denver
Argaret & Diana
What are the four key actions that can be requested in UCM?
Initial (Implementation)
Extension
Rebuttal
Termination
What is the duration of the initial payment suspension?
180 days
What is the universal file naming convention for documents?
V1_AAR_Initial_ABCD Supplier_PSP-123456-78901
version_title_stage_entity_psp#
Is this provider on an implementation, extension, rebuttal, or termination?
O'HARE CLINICAL LAB SERVICES INC
Extension
What document is required when Law Enforcement requests a payment suspension?
OI-55
UPIC SE and SW are assigned to what DME MAC?
JC
Find the initial documents for this provider, Raymond A. Brickhouse DPM LLC.
20
What does AAR stand for?
Administrative Action Recommendation