MRR
AUDITS
HS REVERSE
PRC
MASTER GUIDE
100

You use what as a cover letter?

EIQ TEMPLATE

100

My cover letter is always found where? 

What is the EIQ files tab?

100

What should I never do in HS reverse Workflow (unless it is a portal)

Change the site ID in HS

100

What process should I do if I get a PRC Optum?

What is the requester ID # need to be

Identify if it is a Databank direct link access or account based process.  If it is a databank optum with the link and barcode upload to the portal and change the requester ID to the PRC requester ID # 

100

I am emailing records to a requester for Adena Health , what site ID number and requester number am I?

74749 and 2430057

200

What are the 1st two things you look for when looking at an EIQ template?

STOP SIGNS

200

What are the questions that you should ask yourself and in the correct order every time you open a new action log?

1. Any stop signs?

2. requester name and address?

3. Is the requester a portal or a certain specified workflow?

4. Do I have a request letter?

200

How do I locate the request in order to process for this workflow? What app do I use to locate it?

hs reverse workflow tab, the ERID# plugged into HS

200

I am a PRC Performant CMS and I am a Region 2 Client and my Hospital is Thedacare, what is my requester ID # I will use?

2462502

200

I AM A CMS COTIVITI PRC and my letter says Region 5 client, what is my Request type and my requester ID number?

What is standard and 1545372

300

I have no stop signs, a requester address, and requester name, and a fax number. My page count is 155. What am I?

What is a fax?

300

What are 2 delivery methods I have that MRR does not

What are EDEL or Portals

300

What do I use to search my patient in EPIC and where?

Account # or DOB, Patient's last name, first name

300

I am an EXL Portal for PRC, what is my site ID # and my requester ID # if I am for Mercy Hospital?

What is 74746 and 2430054

300

IN THE PRC CMS PROCESS WHAT IS THE PRIMARY REASON FOR REQUEST?

WAHT IS AUDIT OF CLAIMS?

400

I have no stop signs, a requester address and requester name, my total page count from epic is 155. What am I?

What is True mail?

400

I have a request with no stop signs, requester name, and address with a request letter, EXL Health? What is my site ID in HealthSource?

Double JEOPARDY (800 pts) What is the requester ID

The EIQ Site ID and EIQ requester ID

400

Where do I go in EPIC to find the hospital location and account number for the DOS being requested? 

Chart Central, Chart Review and Encounters

400

If I am a fax what is my site ID # in HS and requester ID# if I am working Thedacare PRC's

What is 74747 and 2430055

400

IN HS REVERSE WORKFLOW I AM WORKING A LIVANTA REQUEST, IT IS ASKING FOR THE CASE ID AND EMR KEY, WHERE DO I FIND IT? 

TRIPLE DOUBLE 1200PTS: OH AND MY HOSPITAL IS ST. CLAIR, WHAT ARE MY HS SITE #'S AND DO I USE STANDARD OR BOC

AT THE TOP OF THE PAGE ON THE REQUEST LETTER USUALLY BY THE BARCODE. 


91580 AND 3046017 BOC

500

I have a requester name and address, no stop signs and I notice that my address in HS doesn't match the address in EIQ, What should I do?

What is check the verified address sheet for the address?

500

Edelivery and True Mail are logged to what site iD

The Hospital CBO site #

500

What is the type I must change in the EIQ closing note? 

DAILY DOUBLE (1000 pts) What is the very last thing I must select and type before hitting save mark complete

Action Log, Audit Pre/Post Pay - Ciox/ROI

500

I am the very last thing you should put in your email Subject line when emailing records?

What is Secure?

500

You open an action log and you see account numbers in the Template, what is the correct way to work these?

What is plug each individual account number in the EMR and write down your DOS individually for each account and then search from oldest to newest date/ and then search the account numbers in EDIT SELECTION