AR Follow Up
What are 2 locations to search for an authorization number?
What is payer portal and Meditech.
Name five sports that do not use a ball?
What is swimming, track, skating, gymnastics, and boxing.
Archery, Fencing, horse racing, wrestling,
Name two animals with no bones?
What is a worm and a jellyfish?
Octopuses, squid, snail
Remit code 31?
What isPatient cannot be identified as our insured.
used to document the initial point of contact with the account. Did you call the patient? Did you get a call from a payer? Did you review an EOB?
What is an Event Trigger.
What are the steps that should be taken to resolve a COB issue?
What is reviewing other encounters in Meditech, checking eligibility on payer website, and last calling the patient.
What was the first televised sporting event?
What was the Berlin Olympics. (Germany)
Name two foods that start with the letter Q?
What is quinoa, quiche.
Quesadilla, Queso
Expenses incurred prior to coverage
What is remit code 26.
Aged 90 days from bill date and all balances
What is the Scope of the program.
What type of bill is a 111?
What is a Hospital Inpatient claim.
What sport uses these words/phrases?
Deuce, Fault, Ace, and Backhand
What is Tenis.
What sea creature has blue blood?
What is a lobster.
Remit Code 29 and next steps
Time limit for filing has expired and request an adjustment.
Monetary transactions posted in the client system but not shown in Workflow/FAcs after 3 business days from date of transaction. Client System and Workflow balances are not the same.
What is Balance That Differ?
After you have reviewed the EOB what should be done next prior to actioning an account?
What is reviewing Meditech.
What is the most watched sport world wide?
What is soccer.
What year was Google created?
What is 1998.
benefit maximum for this time-period has been reached
What is Remit code 119.
4 examples of Charge review?
What is
• Missing or invalid Revenue Codes
• Revenue Codes and Procedure Codes do not match • Duplicate services rendered within 24 hours
• Medically Unlikely Edit (MUE)/Exceeds Frequency denials
• Missing or invalid Modifier
What does MSPQ stand for?
What is Medicare Secondary Payer Questionnaire.
What athlete started their career on the app Vine?
Who is Jake Paul.
What is an avocado?
What is a fruit.
Automatic 2% reduction applied to Medicare fee-for-service reimbursements, enacted by the federal government to reduce spending. This reduction is applied to the final payment amount, not the billed charges, and is not appealable, often appearing on remittance advice as a separate adjustment
What is a Sequestration.
CARCs stand for?
What is Claims Adjustment Reason Codes.