Acronym's
DRG
What is Diagnosis Related Group?
SBO
What is Single Billing Office
EOB
What is an Explanation of Benefits
Atrio, HealthNet, Kaiser, Moda, PacificSource CCO, UHC
Who are Payors we have regular meetings with?
Senior Review
Meeting for Team to ask questions
PPS
What is Prospective Payment System?
Tool used to send an account to Coding, RIT or CM
What is a BDC record?
CO
What is Contractual Adjustment?
Call patient and send letter
What is required when info is need from patient?
PHI
What is protected Health Information?
SNF
What is a Skilled Nursing Facility
Guarantor
What is responsible party for claim?
Lessor of
What is maximum payor will pay up to billed charges?
CloudMed
Who is the vendor we send DRG downgrades to?
Payor Policy
What is a payor policy regarding how a service is paid?
HH
What is Home Health?
Premise Coverage
What is accident insurance?
Who, What, When, Where, How, and Why
What is required in an account note?
Workqueue List
What are the WQ's you are responsible for?
Print Log
What is a spreadsheet for logging print documents with instruction on how to handle?
CLFS
What is Clinical Laboratory Fee Schedule?
Watch List
What are accounts that need attention?
ABN
What is an Advance Beneficiary notice?
Score 100
What is an account that per criteria is high priority?
1:1
What is a meeting with a leader to discuss any issues or needs?