Show:
G & A & COB
Authorizations
Music Videos
Claims
Department Terms
100
The type of Appeal CO/NV has to file.
What is written?
100
This is another name for the Authorizations Department.
What is Utilization Management (UM)?
100
This is the first video we danced to.
What is Sophia Grace?
100
This is the 1st step to researching claims.
What is looking at the columns to show how the claim processed?
100
This is the abbriviation for missing a day when it is not pre-approved.
What is UTO?
200
These are documents which would dictate which parent must provide coverage for a child.
What is Court Order or Divorce Decree?
200
This is the tool we use to view Authorizations.
What is MAS Toolbar?
200
This artist did a tribute to the King of Pop.
Who is Justin Timberlake?
200
This section on procedure codes can tell you whether a code is always Medical, always Preventive or is determined by the DX code.
What is Service Class?
200
This is the term for sticking to the assigned schedule.
What is Adherence?
300
This is the very last option a member can use if there is new information after all appeal rights have been exhausted.
What is Health Plan Discretionary Review?
300
This is the number assigned to the authorization.
What is a reference number?
300
This dance was more like Walkin...g.
What is Fatboy Slim, Weapon of Choice?
300
This field on DX codes can tell you whether the code is Medical or Preventive.
What is Limit Class?
300
This is the abbriviated term for taking approved time off.
What is PTO?
400
If you see this on the Limited Liability, it means Medicare is Prime.
What is an M?
400
This type of inpatient hospital stay may not require an authorization if it is less than 96 hours.
What is cesearean labor and delivery?
400
This video was no place like home.
What is the Wizard of AHHHS?.
400
This link will tell you that medical policy may apply to a code.
What is Suspend/Deny?
400
This is the average of how long you are on the phone, how long a hold is and how much time you spend in after call work after the call.
What is AHT (Average Handle Time)?
500
This is the type of standard appeal that has to do with paperwork, such as processing an OON provider INN.
What is Administrative?
500
This online tool may be used to determine what criteria a procedure may require.
What is Medical Policy?
500
This is the video played on throwback Thursday and is the reason a cop, a Native American and a construction worker can never hang out in public.
What is YMCA?
500
This is the code that is assigned to a claim when it is not processed.
What is a reject code?
500
This is the best trainer in the world.
Who is Aaron Betz?