Systems & Software
"W"
Status Codes & Documentation
Appeals & Denials
Surgical Information Systems
100

This system can be utilized for conference calls, outgoing calls, incoming calls, text messages, voicemails, and faxes.

What is RingCentral?

100

This piece of information should contain the name of the person you spoke with, and the method of contact (phone, fax, secure messaging)

What is "Who"

100

This Status Code should be used when payment information including the VCC#, or Check# has been received however the payment is not posted.

What is "CSP"?

100

This process needs to be completed by individuals each year, or whenever there is a qualifying life event, as mandated by the insurance company.

What is "Cordination of Benefits or COB"?

100

This is where teammates can recognize each other for going above and beyond normal responsibilities.

What is "Bonusly?"

200

This system is used by most centers to house the original coding reports. A copy of the patient's operative report can usually be found here as well.

What is SNchart?

200

This website is where you can locate claims, remits, fix claim rejections and/or upload claims.

What is Waystar?

200

This Status Code is used when an account is sent to a payment poster for review or correction This is considered a critical process status that must be worked as a priority by the posting team.

"What is "FTP"?

200

This denial is triggered when a provider does not receive approval from an insurance company to provide a service or procedure.

What is a "No Auth/Pre-cert" denial?

200

The department that helps teammates resolve issues with issues/requests related to VPN, Excel, LastPass, Outlook, Ring Central, Sharepoint, Teams, Word, and Zee drive.

Who is "IT Help Desk?"

300

This folder in your clients SharePoint is where  refund logs and collection logs are housed.

What is the "From Surgical Notes" folder.

300

This piece of the notes should contain locations of information used to work the account.

What is "Where"

300

This status is used when you are waiting on a payer to process an initial claim, appeal, medical records, or negotations.

What is "INP"?

300

Any item considered insertable and removable in the human body often triggers a missing information denial, usually needing the invoice or purchase order.

"What is an "implant"?

300

This company-wide meeting allows all teammates within the organization to have updates about the current standings of Surgical Information Systems.

What is the "Quarterly Conference"?

400

This software houses worklists, account inventory, and priority accounts for most centers.

What is RCMbrain?

400

This piece of information should include a detailed list of actions taken to move the account forward.

"What is "What"?

400

This Status Code is used when medical records are submitted via mail, fax, or uploaded to a portal.

What is "MRS"?

400

These abbreviations indicate who is ultimately responsible for the amount not paid by the insurance company.

What are "CO-Contractual Obligation & PR-Patient Responsibility"

400

The Surgical Information Systems email address or entity where questions can be sent to the CEO. 

Who is "askceo@sisfirst.com"?

500

This site contains client profile & billing rules, contracts, refund logs, daily deposit folders, and so much more.

What is Sharepoint?

500

This document is a request for taxpayer identification number and certification, usually requested by a payer for a payment.

What is a "W9"?

500

This Status Code should be used when submitting a coding request.

What is "PCD?"

500

Reviewing the original coding, claim submission, medical records, frequency, visit history, and the policies that determine coverage for services and procedures is the first step for resolving this type of denial. 

What is a "Local Coverage Determination (LCD)" denial?

500

Respect, Integrity, Accountability, Client Focused, Bias for Action, Continuous Improvement

What are "Core Values?"

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