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Terminology
Facets
HCFA/UB
Mental Health
Substance Abuse
100
A non-par provider who makes an agreement with OHBS to provide services to a member where no comparible INN provider exists.
What is an Accomodation Provider
100
The keyboard shortcut to "Transfer."
What is alt+T
100
Box 71 on a UB
What is the box where the DRG code is entered?
100
A severe mental disorder characterized by some, but not necessarily all, of the following features: emotional blunting, intellectual deterioration, social isolation, disorganized speech and behavior, delusions, and hallucinations.
What is Schizophrenia?
100
A synthetic opioid, used medically as an analgesic and a maintenance anti-addictive and reductive preparation for use by patients with opioid dependency.
What is methadone?
200
A universal form for providers of services to use in billing pro fees to health plan carriers.
What is a HCFA/CMS 1500
200
You can find demographic information for the patient here
What is Subscriber/Family
200
NPI
What is the National Provider Identifier?
200
A mental condition on the dividing line between a psychiatric disorder and normality characterized by impulsiveness, extreme mood swings, and often aggressiveness.
What is Borderline Personality Disorder?
200
A set of guiding principles outlining a course of action for recovery from addiction, compulsion, or other behavioral problems.
What is a 12 step program?
300
The method under which a claimant requests that his/her benefits under a claim be paid to a designated person or institution, usually a physician or hospital.
What is Assignment of Benefits
300
You can use this section to look up claim details.
What is Claims Inquiry?
300
Rev codes and DRG codes are on this claim form.
What is a UB?
300
A mental health problem characterized by an alternation between extreme euphoria and deep depression.
What is Manic Depression/Bipolar Disorder
300
Anhydrous Ammonia, lithium batteries, Psudoephedrine
What are 3 componants used in the manufacturing of meth?
400
C.O.B.R.A.
What is the acronym for Consolidated Omnibus Budget Reconciliation Act
400
The Remittance tab.
What is where you can find payment details for a claim?
400
POS code for a residential substance abuse treatment facility
What is 55?
400
A learning disability that impairs a person's fluency or comprehension accuracy in being able to read and which can manifest itself as a difficulty with phonological awareness, phonological decoding, orthographic coding, auditory short-term memory, or rapid naming.
What is Dyslexia?
400
True/False: A variation of Methamphetamine is approved for use in treatment of ADHD and obesity.
What is True? Desoxyn is the trade name of this product.
500
The department that reviews medical necessity and appropriateness of care for non-certified services rendered by non-par providers.
What is Clinical Claims Review (CCR)
500
You can find patient pre-authorization details here
What is Prospective U/M
500
181
What is a void/cancellation of the prior inpatient hospital claim?
500
A disorder that is characterized by significant difficulties in social interaction, alongside restricted and repetitive patterns of behavior and interests.
What is Asperger's Syndrome?
500
A semisynthetic psychedelic drug of the ergoline family, well known for its psychological effects which can include altered thinking processes, closed and open eye visuals, synesthesia, an altered sense of time and spiritual experiences, as well as for its key role in 1960s counterculture.
What is LSD/Acid?