Show:
Core Acronyms
OnBase
Laboratory
Reading Remits
Misc
100
What does CPT stand for?
Current Procedure Terminology
100
How do Documents arrive in OnBase?
Electronically via download Faxes via download or scan Hard Copy
100
What are the two Claim Types?
CMS1500 & UB04
100
Please give the definition of Charges.
Charges- What the provider billed.
100
What is an 835?
Electronic Remittance incoming file
200
What does ECM stand for?
Enterprise Content Management
200
What is Indexing?
The process of assigning keywords to the document for Document Retrieval.
200
What are the 5 different types of Labs?
Independent Reference Lab Hospital Outreach Lab Lab Network Pathology Labs Genetic Labs
200
What is the Allowed Amount?
What the provider is allowed to collect. The providers payment comes from the insurance and or patient.
200
What is 837?
Outgoing Electronic Claim File
300
What is an EOB?
Explanation of benefits.
300
Name two ways to duplicate a keyword field?
Double click the field you wish to duplicate or place the curser in the field and press F6.
300
Name the Independent Reference Lab characteristics?
Unique Tax ID Unique Pay-to-Address Direct Remit to Quadax Utilize Claim Type CMS-1500 Medicare Clinical Lab Fee Schedule
300
What is the Discount?
The portion of billed charges that the provider must write off and never collect.
300
What is the name of the database with multiple client information?
Observer
400
What does HIPAA stand for?
Health Insurance Portability and Accountability Act.
400
What types of documents are stored in OnBase?
Remittance, Correspondence, Faxes and Medical Records.
400
What are the Characteristics of the Pathology Labs?
Unique Tax ID Number Unique Pay-to Address Payers direct remittance to Quadax Direct contracting with Payers Utilize Claim type CMS-1500 Medicare Physician Fee Schedule
400
What is a Plan Payment?
Insurance companies portion to be paid.
400
What are types of Advanced Search tools?
Wild Card, F6, Boolean Operator Codes
500
What is ERISA?
The Employee Retirement Income Security Act.
500
Does every client use the same database of information?
No, clients may purchase individual databases for access.
500
What are the characteristics of Genetic Labs?
Funded by Venture Capital Unique Tax ID Number Unique Pay-to Address Limited, Highly Specialized Test Types "Course of Action" tests Tests may not be recognized by the Payers unlisted CPT codes (CPT84999) Utilize Quadax Patient Advocacy Software Utilize Claim Type CMS-1500
500
What is a New Allowed Amount?
This is a figure that can be used in calculating co-insurance and plan payment.
500
Hospital Tax ID Number Hospital Pay-to Address Hospital NPI/ Outreach NPI Remittance forwarded by Hospital to Quadax Hospital Payer Contracts Utilize Claim Type UB-04 Special contract CMS-1500 Medicare Clinical Lab Fee Schedule
What are the Hospital Outreach Lab Characteristics?