Keep it short
Work it, baby!
Hold It
Be a Hero!
The letter M
100

Adj

What is the approved abbreviation for Adjustment/Adjusted?

100

4099

What is the work item for BSO Coding?

100

This is the hold you will see on an account when the CRIT team is working an audit.

What is CRIT?

100

You would make it a zero by applying this to a claim with a patient responsibility balance when the patient has not received a statement for more than a year from the date of service.

What is adjustment code 3100?

Associates limit = $300.00

Team Lead limit = $500.00

Supervisor = $2500.00

Operations Lead = $5000.00

Operations Manager = anything above $5000.00

100

This is the federal health insurance plan for people 65 or older, younger people with disabilities, and people with End-Stage Renal Disease?

What is Medicare?

200

BD

What is the abbreviation for Bad Debt?

200

4529

What is the work item for MG Recurring Shared Insurance Updates?

200

You would be a hero by sending this to Lost Payment Research department.

What is a completed LPR form with information regarding the cashed check?

200

The M in CMS healthcare stands for this.  Maybe it should be called CMMS?

What is Medicare & Medicaid?

CMS stands for Centers for Medicare and Medicaid Services.

300

DX

What is the abbreviation for Diagnosis?

300

You can be a Hero by making the account Zero by taking/sending for this type of adjustment after confirming payer authorization requirements were not met.

What is a 3104 adjustment?

Associates limit = $300.00

Team Lead limit = $500.00

Supervisor = $2500.00

Operations Lead = $5000.00

Operations Manager = anything above $5000.00

300

This is the only service the location CSRA performs.

What is a Mammogram?

400

TT

What is the abbreviation for talked to?

400

You can be a Hero by making the account Zero by doing this after Traditional Medicaid has denied the charges with a 96 non-covered code.

What is taking/sending the claim for an adjustment using the Adjustment code 3520?

Associates limit = $300.00

Team Lead limit = $500.00

Supervisor = $2500.00

Operations Lead = $5000.00

Operations Manager = anything above $5000.00

400

This is a Health Care plan that provides health coverage to millions of Americans, including eligible low-income adults, children, pregnant women, elderly adults, and people with disabilities.

Who is Medicaid?

500

DOA

What is the abbreviation for Date of Accident?

500

You can be a hero by making the balance this amount.

What is ZERO (by receiving payment from the appropriate payer)?



500

This is the Remittance Code you will find on the Medicare EOB indicating the claim information has also been forwarded to Medicaid for review.

What is MA07?