Types of Appeals
Hospice Appeal - Will always be what 2 types?
What is BIPA or FFS?
Notice Type = NOMC, HMO/Plan = YES and NO, Appeal Type = BIPA-Hospice. Who is the Provider?
What is Hospice?
What is the abbreviation for Title 14 grant to states for aid to the permanently and totally disabled?
What is XIV?
On the NOMNC, is there a place to insert the provider contact information?
What is, "Yes?"
During which level of appeal does the QIO review cases and hospitals?
What is the 2nd Level of Appeal?
HRR stands for what?
What is Hospital Requested Review Appeal?
Appeal Type = BIPA-HHA, HMO/PLAN = No, Notice Type = NOMNC. What is the Provider Type?
What is HHA or CORF?
What does JC stand for?
What is Joint Commission?
Who handles the 3rd Level of Appeal?
Who is the Administrative Law Judge (ALJ)?
Are other companies subcontracted by Medicare to do levels of review?
What is "Yes?"
HMO/PLAN = Yes, Provider Type = Acute (Hospital), Notice Type = IM. What is the Appeal Type?
What is IM?
Appeal Type = HRR, HMO/PLAN = Yes and No, Provider Type = Acute. What is the Notice type?
What is HRR?
What does P & T stand for?
What is Pharmaceutical & Therapeutic?
What level is the Appeal with the QIO attained on?
What is the 1st Level of Appeal?
How many level of appeals are there?
What is 3?
Who is the Hospital Appeals IM from?
Who is Medicare?
HMO/PLAN = Yes and No, Provider Type = Acute, Notice Type = HINN. What is the Appeal Type?
What is HINN?
What abbreviation means Immediate Advocacy?
What is IA?
Who receives BIPA case appeals?
Who are Maximus and C2C?
What does "Rescinded" mean?
What is a term used when the discharge or discontinuation of services has been cancelled by the facility or the MA/HMO?
In regards to an HHR, what item can hospital staff overnight or fax to KEPRO?
What are Medical Records?
Provider Type = SNF,HHA,CORF, HMO/PLAN = Yes, Notice Type = NOMNC. What is the Appeal Type?
What is MA?
What does BAC stand for?
What is the Beneficiary Advisory Committee?
Reconsideration is also a name for what level of appeal?
What is the 2nd Level?
Name the acronym for the Utilization Review Accreditation Commission.
What is URAC?