Codes
98941 is an example of this type of code
What is a CPT code?
This COSMOS screen is where we look up division specific member timelines
What is the GI101?
This PI is used to verify the correct member is selected on our claim
What is the member number PI?
This review verifies timely filing
What is the 031 review?
This is the technical name of the hospital hard copy
What is a UB-04?
What is an ICD-10 code?
This COSMOS screen is the starting point for provider selection where we enter our FedID and NPI
What is the GI205?
This PI is used to verify the correct provider has been selected on our claim
What is the provider selection PI?
This review verifies duplicate claims
What is the 022/075/711 reviews?
This is the hot key to open multiple COSMOS screens in the morning
What is Ctl + Spacebar
A two-digit addition to the end of a procedure code with a separate definition is known as this
What is a modifier?
This COSMOS screen shows the provider's office address
What is the PS308/PS304
This PI is used to verify if the copay and/or deductible has been applied correctly to our claim
What is the Copay and Deductibles PI?
This review prices outpatient claims per Webstrat
What is the 473 review?
This macro launches Skynet
What is Alt + Shift + Enter (keypad)
This two-digit numeric code can be found in CPA and indicates where the member's services were rendered
What is the place of service (POS)?
This COSMOS screen shows the provider's Medicare ID
What is the PS304/PS510
This PI is used to verify copays for Skilled Nursing Facility (SNF) Stays
What is the 230?
This review has us process corrected billing claims
What is the 7009 review?
True or False: If you have a line denied in CPA prior to your Webstrat review, you should leave it in Webstrat when you price it per the 473 review.
False - All previously denied lines should be removed before pricing on the 473 review.
This three-digit code is submitted on the hard copy and defines the category of services performed by the provider.
What is a revenue code?
This COSMOS screen is used to verify denials on a claim
What is the TB208?
This PI has three total reviews that it covers and has us verify if prior authorization is required for the codes submitted by the provider
What is the 7000, 7001, 7002 PI?
This review is for non-contracted (non-par) providers and requires that they submit notification/authorization
What is the 091 review?
When reviewing denials per the TB208 COSMOS screen, this document should also always be opened to confirm whether the denial is member or provider liability
What is the TB208 spreadsheet?