Systems
Corrected claims
Auth
Claim Status
Acronym's
StateWise
Team general
The Spot
Managers
100

From what system would an hourly employee clock in and out from?

What is Workday

100

What # do we want to add to show it is a corrected claim, when correcting a claim out of Waystar?

What is #7

100

What does NAR stand for?

What is no authorization required

100

You status a claim on payer portal and see the full balance is set to pay, dated 5 days prior to your status, with ck# and Ck info included. What is your SW status?

What is Paid in full- Within last 30 days

100

What does SCA stand for?

What is Service case agreement

100

What does it mean when a balance has parenthesis (-500.00)?

What is a credit/overpayment

100

What is something you to have submitted end of day on Friday's?

What is your timesheet

100

When completing training sessions, you are on site?

What is Relias

100

Which Manager overseas Auth team/cash posting?

Who is Deborah Oliver

200

You have a claim that exceeded auth, resulting in a write off. In what system will you enter the write off?

What is Write-off app

200

What do we want to verify before submitting a corrected claim?

What is time filing

200

If your claim denied for auth and we have an approved auth on file, what would you want to make sure is included in the approval?

What is your billing code/codes

200

You receive a denial stating patients plan termed. What claim status will you use?

What is Auth Team- Eligibility issue

200

What does EOB stand for?

What is Explanation of benefits

200

In what screen do you identify patients' insurance?

Where is financial screen

200

When you are not feeling well, you are calling in?

What is sick

200

Where can you get access to The Spot?

What is TSHC homepage

200

Which Manager overseas the West?

Who is Candice Anthony

300

You need to make an outbound call to a payer, from what system will you make this call?

What is Vonage

300

If a claim for example is called PA H Health Partners, out of what system will you submit a corrected claim?

Where is HHAex

300

If you have a claim for DOS 11/16/25-11/22/25, DOS 11/22/25 denied for auth, and you identify the auth period is from 5/22/25-11/22/25. What report can you pull from S.W. to verify how many units were used?

What is the verified summary detail report

300

You have a claim where units are missing, we are within timely filing. What status will you choose?

What is Corrected claim- Updating units

300

What does SW stand for?

What is Statewise

300

If want we want to locate a PT's plan of care (POC) in the financial screen, what do we click next?

What is clinical tab

300

What is something you receive by your managers weekly/monthly? 

What is your worklist

300

You have to enter PTO, what system will you log into?

What is Workday

300

Which Manager overseas the state of IN

Who is Benjamin Padilla

400

Where can you locate TSHC letterhead

What is The SPOT

400

In HHAex, where would we submit a corrected claim?

Where is billing, inv search, by visit

400

If you have a claim billed out of HHAex, in what section would you see codes approved for auth?

What is the auth tab

400

You have a claim where auth has exceeded and there is no way to obtain additional units. What claim status will you use?

What is RCM Manager- Pending write-off review

400

What does POC stand for?

What is Plan of care

400

Where can you find info for a PT on multiple DOS?

What is the AR details screen

400

What are our building hours?

What is from 6a-6p

400

You have to make an outbound call a payer, what system are you using?

What is Vonage

400

Which Manager overseas the state of FL?

Who is Jennifer Brooks

500

You want to review the balance of a PT's acct, in what system would you locate it?

What is Statewise

500

From what clearinghouse do we bill Keystone First Pediatrics?

What is Waystar

500

In S.W. where can you locate a PT's previous auth period?

What is the expired auth

500
You are working on a claim where you have to combine DOS/units. Your provider portal has the capacity to make the corrections live time and is now set to pay in full. What claim status will you choose?

What is Action taken- Set to pay

500

What does RCM stand for?

What is Revenue cycle management

500

If you identified data is missing from HHAex, where in the billing section will you verify data?

Where is the EVV dashboard

500

If your Manager is out of office, who do you contact if you have an emergency?

Who is Narlie Leyva




500

You need access to a payer portal; you will make a request via?

What is helpdesk

500

Which Manager overseas the state of PA?

Who is Carmen Perez

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