CAS Overview
With this screen you are able to pull information on accums
What is MAI screen ?
This is considered to be the correct turnaround time to submit a correspondence for medicare claims
What is 12 months from the initial process date of the claim?
This claim form is used to submit a hospital/ancillary service
What is a UB-04 Form ?
This document found in mentor is used to providing a fee schedule.
What is Providers Issues for PCC ?
An artificial device that replaces a missing body part
What is A Prosthetic ?
Grievance and appeals processes may vary by
What is The State ?
This provides information on how a claim was processed for the Provider
What is A EOR ?
The 5 types of therapies
What is Occupational, Speech, Physical, Rehabilitative, Cardiac ?
This typecode suffix is for interpretation of diagnostic tests
What is xxxxxO ?
This department handles G&A for denied authorizations not expedited
What is Claims Department ?
This is the turnaround time for a claim to be processed
What is 20-50 cal days ?
All medicare claims are paid based on
What is Medical Necessity ?
This modifier is used when billed for interpretation only
What is 26 ?
This is the most common call type received
What is Inquiry ?
This process is how electronic claims are submitted to humana
What is Electronic Data Interchange (EDI) ?
This code is found on a claim when it is voided
What is Frequency code 8 ?
Equipment that is used to service a medical purpose or treat a medical condition
What is A Durable Medical Equipment (DME)?
This is the manner in which a Medicare appeal can be submitted
What is Written only ?
Four ways for a claim to be paid
What is Capitation, Check, Virtual Credit Card, Electronic Funds Transfer ?
What is Medicaid