EIQ for Everyone
What is the name of the Wizard template that we use when writing notes?
AR Follow-Up
What is the difference between a UB04 form and a CMS-1500 form?
UB04 is used by Facilities
CMS-1500 is used by Professional offices.
What is the name of the tab to add notes in EIQ?
Notes
What is the best place to check for the most updated policy?
Policytech
What is a host system?
A host system is what clients use as an electronic health record (EHR) software, which is a comprehensive system used by many hospitals and healthcare organizations.
What button do you click to add a tag in EIQ?
Verify Tags
True or False: Both the hospital physical address and the billing address are located on the UB04.
True
What two letters should every "Action I took today" and "Claim Status" selection start with?
AR
True or False. Per the Medical Records Request Guide, the mailing address is required for ALL requests.
BONUS: What words need to be after the address in the Medical Records Requested action log?
True
Address Verified
What does PHI stand for?
Protected Health Information
What is a Watchlist used for?
A Watchlist is where you can store accounts for quick retrieval for things such as waiting for call backs, faxes, etc,
What does the occurrence code need to be for Workers Compensation claims?
04
What is the purpose of an Action Log?
To request another department, perform an action (send medical records) or to request that something be changed or reviewed.
What are three of the items needed for Missing Payments?
Bulk check amount, Amount paid on the claim, Cashed or cleared bank, date, The last 4 digits of the bank account number where deposited (if available), Check, EFT, or credit card, Check, EFT, or credit card process date, Cleared date of payment, Check or EFT number, Payer name, Copy of the Check (if applicable) and Remit or EOB, Partial remits cannot be used to post the payment, must be full remit
What is Timely Filing?
The time we have to submit a claim, corrected claim, reconsideration, or appeal to a payer.
What are two places that you can enter an action log?
Action Logs tab and Notes tab
True or False? The Revenue (Rev) code is never on the UB04.
False
What are the 4 items that need to be in every WC note?
Claim Number, Date of Injury, Payer Name, Injured Body Part
What do you do if see a claim is rejected?
Check Clearing House for Rejection OR Contact Payer for Rejection Reason
What department do we send an account to when it needs to be combined with another account?
Billing
What are the three places you may find employer info in EIQ?
Under Claim Info tab, look under Patient, Contacts, and Insurance
What two boxes are sometimes missing off the UB04 but need to be completed for US DOE/DOL bills?
Box 51 (Medicare #) and Box 57 (DOL provider #)
What phrases should never be used in your note?
1) allow more time, allow some time, allow time
2) not on file
What is the time frame for a check payment to be considered missing and routed to Cash Posting according to SOP 3260?
21 business days for check
(7 business days for EFT)
True or False. You are excited for Week 4!
True :) Hopefully!