How is your day
Which payer notoriously takes the most time to get on the phone?
Local 1199
Activity code RJOC
Resolved JOC
A patient has active Medicare and a retiree commercial plan. The claim is for an inpatient stay.
Medicare
Leonor Afre
Cash posting
tibleigibyli
Eligibility
Are you breaks paid?
15 min breaks are paid
30 min lunch are not
Rev code 450
ED
A patient is admitted following a car accident and has active commercial insurance. There is also an open auto claim.
No fault
Bhavana Shah
Governmental billing
vneuree celyc lspaeitcist
Revenue cycle specialist
How many hours are there in a pay period
75
Allowance code 230243
Contractual allowance code for commercial PPO's
A patient has Medicare and TRICARE (not active duty)
Medicare prime, Tricare second
Kamau Washington
Customer service
tneipat onn-cilopnamt spsorec
Patient non-compliant process
Which of our processes takes the longest to follow?
RIRV, specifically no auth/not med necessary denial on outpatient and unit accounts.
box 39-41 on UB04 : 24/1432
Medicaid Value and rate codes
A patient has employer group coverage and is also eligible for Medicare, and the employer has more than 20 employees.
LGHP is prime, Medicare is secondary
Frances Coffee
Correspondence unit
azlein
Zelina
Prioritize the following tasks
1-Email from Janene
2-Account over a million dollars
3-low $ customer service email
4-Email from Annie or Nicole
5-Over 5K
4, 1, 2, 5, then 3
Plan code B02
Medicare part B only / ancillary
A patient has two commercial plans under both parents (birthday rule applies: Mom = March, Dad = July).
Dad
Brian Fullerton
Associate Vice President (over Scott)
qreestueda atcdnumeooint
Requested documentation