DOCUMENTATION
What should an account note include?
Complete summary of ALL work complete/ALL details of call
What is our Fax #
732-922-0914
22
COB - May be covered by another payor
Multiple births with neonatal care, and large outstanding self pay balance?
AR
What needs to be include in client email subject line?
Client abbreviation, account number, and patient name
Name 3 approved abbreviations/terminology you can utilize in an account note.
See List in Pathways
What is Meridian IT #
848-237-3333
119
Benefit Maximum
Patient charge of 99213, caller states should not have a copay, this was my well visit.
Coding
Name 3 of the 10 Key points to de-escalate a call.
See Pathways - De-escalation
Where do you navigate to for account notation?
G. activities/account note made or add note
Daily Double
***What is your sups extension?
3560 KL
0825 RH
3552 AH
45
Contractual Obligation
Patient being billed for CO 45
Cash Posting
How often should Downtime sheets be emailed to Sups
Daily or at least weekly
What needs to be include in payment documentation call for GE and Epic
Epic - Payment type, amount, DOS or Multiple, confirmation #
GE - Last 4 digits, trans ID, name
What is OCFC #
732-942-4455
16
Lacks info needed for adjudication
Patient emails PTP voucher
Client Email
Name 3 areas on QA
Open, 3 point, hipaa, prob/res, payment, handling, etiquette, documentation, close, proper use
What needs to be documented for a Payment Plan?
Payment type, amount, DOS/Multiple, confirmation, all terms of payment plan discussed and agreed upon with patient.
What are collection #
Simons 866-454-8701
Ar Strat 866-336-6393
26/27
Expenses incurred prior to coverage
Expenses incurred after coverage termed
Insurance calls regarding DX not specific, and bill denied 204
Coding
Daily Double
***Explain the difference between Medicare Advantage, Dual, and Medicare w/ Supplement
See Pathways