Department Protocols
Regarding on all comments unless communicating internally
What is UHS Completed?
Departments focus for the month of May
What is appeals?
Determine if a check is in UHS system
what is utilize check audit trail?
Exact invoice generated
What is duplicate bill?
T/F: UFC after one phone call was made with no response
What is False?
Any QC discrepancy
What is email collections leadership?
Arguments for appeals
What is why the bill/CPT code is payable?
Merging the documents into one PDF
What is utilizing Scan Doc Management ?
Unsure what steps to do next
What is Bill/Recon Not Accepted - Pending Internal Assistance ?
Sending a bill/appeal by mail
What is check bad carrier address list
Your goal for activity daily
What is 38 bills?
Appeals over 50+ pages
What is utilize the Remote Work Resources folder?
Verified payment is not in Check Audit Trail, requested the front/back copy of the check at least once and did not receive it
What is flip to provider payment?
You call to obtain the EOB but you didn’t receive a response. (1st attempt on the invoice)
What is Initial Bill Submitted to Payer - Attempt Made?
Location of the new bill status email
What is 4.0 & invoice maintenance?
Your first comment is entered within a certain time frame after you clock in
What is 20 minutes?
Calculations of the state fee schedule/guidelines
What is Ref source info in Lookup or info from Flowcharts?
check is posted to another invoice
what is create a misapplied payment packet?
Additional information is needed in regards to solving the invoice
What is Response - Obtain EOB/Denial Detail?
Extra contact recourses for bills/appeals
What is carrier website, carrier chats, carrier emails?
Your comment needs to be thorough, detailed, and easy to understand. -Lakesa's favorite line
What is if it’s not stated in your comment, then it did not happen?
Incorrect PPO reductions caused the underpay
What is send a dispute to the PPO network?
or
What is contact the PPO network to have it disputed?
A payment was sent to UHS lockbox 30+ days ago
What is request check clear date, verify payment info, search smeadlink, and request a copy of the front/back of the check if not done previously
Additional action is needed for information regarding documentation
What is Response - Documentation?
List the correct order of who to contact for bills
What is carrier, bill review, numbers off of EOB's, adjuster, supervisor, backup contacts?