Full Cycle Biller Expectations
Patient Accounts
Denial Reasons
Wellstar Medical Group
Movement Plus
100

When calling a payor, are you the member or provider?

What is provider?

100

What is an EOB?

What is explanation of benefits?

100

What does denial code 197 mean?

What is no authorization

100

What is the provider tax ID?

what is 273818647?

100

Where do I locate clinical documents in Epic?

What is Chart Review?

200

What payor portal allows you to look up the cpt global and bundle?  

What is vitalware?

200

What is a medical record?

What is health record and medical chart are used somewhat interchangeably to describe the systematic documentation of a single patient's medical history and care across time within one health care provider's jurisdiction.

200

What does denial code 18 mean?

What is exact duplicate

200

What is the group NPI? 

What is 1275992240?

200

What is the difference between a Rejected Claim and a Denied Claim?

What is A claim rejection occurs prior to claim processing and is typically related to input errors or invalid data. A denied claim is processed by the payer and determined to be unpayable.

300

What portal allows you to view the Correspondence, EOB, claim, and/ or check?

What is healthlogic?

300

What is COB?

What is 

  • works to establish who’s on first, who’s on second and even third at times. Meaning primary, secondary and tertiary. 
300

What denial code matches with "Non-Covered charge(s). At least one remark code must be provided"

What is 96

300

What is the welcome aboard channel?

What is where you can find the job aids, sops, syllabus, onboarding training, and knowledge workbook? 

300

When does the revenue cycle begin?

What is Patient Registration?

400

Refreshers to certain denials are located where ? 

What is the resource center? 

400

Define the no response WQ?

What is looking for a claim response via payor portal? 

400

What does denial code 22 mean?

What is Dnied/rdcd, may be cvd by othr payor.

400

Where can you locate multiple payor portals at once? 

What is Zkeep?

400

Where can I view visit accounts, invoices and transactions?  

What is Professional Transaction Inquiry?

500

What are the 3 methods of contact to a payor?

What is chat to payor?

What is Call to payor? 

What is secure message?

What is email to payor?

500

What is B9?

What is hospice?

500

What does denial code 27 mean?

What is "EXPENSES INCCURED AFTER CVG TERMED"

500

What system do we use that houses our No denial WQs, No response and ETC? 

What is EPIC?

500

Who are your Revenue Cycle Training Quality Analyst Team Members?

Who is Brandie, Julia, Chandra and Tosha?

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