Abbreviations/Acronyms
LOB
What is Line of Business?
Pend Button
What is how to re-pend an ORG?
Site ID
Outreach ID
PNP Code
Situation (what is going on?)
Question(s)
What is PNP Question Template?
Shannon Keith
Who is the trainer?
BAA
What is Business Associate Agreement?
Provider name, retrieval method, address, fax number
What is Verification Elements?
3, 21, 22, 26, 27, 28, 33, 38, 39, 40, 41
What are codes our team should not be working? (We also do not work PNP042)
Audit Title
Rep Name
Lead Name
Supervisor Name
Audit Score
Comments
What is PNP Appeal Process Template?
Angie, Theresa, Neka, Jane
Who are our supervisors?
NP
What is Not Participating?
877-445-9293
What is CIOX Provider Line phone number?
Pended Comment Date
What is Date Type?
Vendor: A&L Imaging
Relationship: Great
Payment Type: Post Pay
Required Rate: $10.00
What IS HIH List?
Julia Decker
Who processes Per HLP Releases?
Elhurt
Who is an HTP (High Touch Provider)?
Optum’s Central Website
What is the hub?
a7e012345a4ea414e7777ae9999a0000
What is Client Chart ID?
PNP024: Provider Requests Retrieval by Health Information Handlers (HIH): [______]used for retrievals. [MSID Date ORG] We spoke with [Name]at [Phone] on [MM/DD/YYYY]. [Name]stated that they will not participate because they require a fee for their retrievals Vendor charges [$__] per chart [PRE/POST] paymentand may charge applicable fees. Confirmed site’s address: [address]. Send provider package to [fax number, ATTN: Name/Medical Records]. Verified at least 2 provider(s): [verified Provider(s) First and Last Name(s)].Charts will be sent in via [retrieval method].
What is Note Template?
Beth Hoff
Who is our Associate Director?
Lone Star
Who is a HIH (Health Information Handler)?
UHG Azure site
What is SharePoint?
Provider Invoices
What is where to view payment details?
PNP007: Date of Service Issue & PNP011: Member Not Found at Location While PNP007 and PNP011 are two different PNP codes for different reasons, both codes are resolved by taking the same actions.
What is PNP Provider Resolution Job Aid?
Dave Wichmann
Who is our CEO?