Acronyms
HIPAA
Health Insurance Portability and Accountability Act
Define Adjudication
The process by which an insurance company processes claims and determines payment and amount
These 4 hobbits embark on an adventure to save Middle Earth
Who are
Frodo, Sam, Merry, Pippen
What is a KPI? And why do people care?
What is. . .
Key Performance Indicators, enable real-time visibility into metrics regarding BILLING and REVENUE and is CUSTOMIZABLE based on the KPIs that matter to each healthcare organization.
another acceptable response. . .
It centralizes critical information related to patient access, healthcare collections, claims management and payer contract management.
Where was Disney's first Space Mountain located?
Magic Kingdom, WDW
CPT
Current Procedural Terminology
Define Deductible
The amount a patient must pay out-of-pocket before their insurance begins to cover healthcare services
3 movies that make up the original trilogy
What is. . .
The Fellowship of the Ring, The Two Towers, Return of the King
Rivet can show users denied claim productivity. Show me how to navigate there
Home page --> Denials --> User --> Analytics
Which is the largest Disney park in the world (land area)
Animal Kingdom
HCPCS
Healthcare Common Procedure Coding System
Define HMO
A type of health insurance plan that typically requires members to use a network of doctors and get a referral before seeing a specialist
9 companions comprise the fellowship of the ring.
Who are. . .
Gandalf: A wizard
Legolas: An elf
Gimli: A dwarf
Aragorn: A man
Boromir: A man
Frodo: A hobbit
Sam: A hobbit
Merry: A hobbit
Pippin: A hobbit
2 KPI's that a user can track in Rivet.
What are. . .
Clean claim rate
Denial %
Recovery Rate
Team productivity
Estimate Accuracy
Initial Gross Denials
As announced at Disney's Bi-annual D23 event last week, name one of the two lands that will replace Tom Sawyer's island and Rivers of America at Disney World's Magic Kingdom
Cars land and Villains Kingdom/land
DRG and DME
Diagnosis Related Group and Durable Medical Equipment
Define Utililization review
The process of reviewing the use of healthcare services to ensure they are necessary, efficent, and meet established guidelines
Servants of Sauron dressed in all black
Who are. . .
The Nazgul or ringwraiths
*** Bonus double points ***
What does their leader go by? (name)
A metric that measures the % of charges billed that are collected during a specific time period
What is Gross Collection Rate
Name 3 rides unique to Disneyland/California Adventure (at no other Disney park)
Alice in Wonderland, Casey Junior Train, Canoes, Finding Nemo submarines, Indiana Jones, Matterhorn, Mr Toads, Pinochio's, Snow White's ride, Goofy's sky school, Guardians mission breakout, Incredicoaster, Emotional whirlwhind, Monsters Inc ride, Radiator Springs Racers (cars ride), Web Slingers
CARC and RARC
Claim Adjustment Reason Code and Remittance Advice Remark Codes
What does CDM stand for and name 3 things included in a CDM
Charge Description Master that includes all billable items to a patient
Included: Surgeries, drugs, supplies, diagnostic tests, outpatient services etc.
When fire is added, the One Ring Inscription appears and says...
What is. . .
"One Ring to rule them all, one Ring to find them, one Ring to bring them all and in the darkness bind them".
Define the "0-60" percentage KPI *(it isn't phrased as jeopardy but this is a good question).
***BONUS Daily Double***
Calculate your 0-60 %.
This KPI in medical billing represents how many days ago the service was billed. 0-30 days and 31-60 days.
Divide the combined A/R in the 0-30 bucket and the 31-60 bucket by your total A/R.
How many Disney parks are there in the world (i.e. Disneyland and Disney's California Adventure are seperate)? 500 extra bonus points if you can vaguely name them and/or their locations
12 (Magic Kingdom, Epcot, Animal Kingdom, Hollywood Studios, Disneyland Park, Disney California Adventure, Disneyland Paris, Disney's Adventure Park (Paris), Disneyland Tokyo, Tokyo Disney Sea, Hong Kong Disneyland, Shanghai Disneyland