DENIALS/CLEARWAVE
AVP KNOWLEDGE
POLICIES
BILLING
FUN!
100

What is denial code CO22?

This care may be covered by another payer.   

100

What is our AVP anniversary

March 8th, 2017


100

A rental car may be requested if a team member is traveling how many miles?

75 miles or more one way or 150 miles or more roundtrip

100

What is one thing an employee must have to qualify for our employee discount?

The employee must be covered by insurance.

100

Which South manager can add ghost hunting to their skills?

Nicole Shook

200

What payer has had the most denials for no authorizations the last two months?

AHCCCS

200

Who is the Associate Director of Optical Operations?

Jennifer Barnes

200

After an employee applies for a transfer, what should the hiring manager do next?

Contact the employees current manager to check transfer eligibility

200
A GY modifier is only needed when?

A Patient has AHCCCS and is over 21 or the patient is covered under Medicare. 

200
Name two of the three managers that do not have August birthday babies

Maricela, Nicole, Lorenia

300

Our QR barcode/Kiosk usage goal

90%

300

Who is the vice president of Revenue Cycle Management

Christian Landy

300

When is a new employee eligible to use sick time and/or PTO?

After 90 days of employment

300

What AARP Medicare Advantage plan is exclusive to New Mexico and Texas?

Wellmed

300

Who were the two managers who would like to meet their ancestors?

Kim and Maricela

400

What does a purple flag indicate on Clearwave

Other payer on file

400

Who is the director over the West Region

Andrea Zoto

400

Name the five reasons sick time CAN be used for

Medical care, mental or physical illness, injury or a health condition. (mental health day)

Public Health Emergency

Domestic violence, sexual violence, abuse or stalking

Can be used for themselves or family members

COVID symptoms and testing

400

What was the most frequent claim edit for all locations last month?

COB1, Requires Payer Authorization

400

What amusement park ride would Amanda be?

Tilt a whirl

500

What do you do when you encounter a pink flag on Clearwave?

Research and fill out patient merge request if needed. 

Pink flag indicates possible duplicate patient detected. 

500

 Who is our General Counsel

Rose Willis

500

Name the first three Managing Within the Law classes

Daily interactions

Medical Concerns, Accommodations and Leaves

Interviewing and Hiring

500

Name three details required for RCM tasks

Current Date/Time and Signature

Updates made to payer or referral/auth

Questions on patient responsibility and call back details

Description of coding or charge error

Description of payment posting error

Reason for refund and amount requested 


500

What movie makes Amanda cry every time?

Love Story

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