Bundling
When unbundling, which modifier would you use for CPT 99214?
Modifier 25
Pend Appeal Bundling
What application would we use to obtain medical records from a facility based location?
Sunrise
Your invoice has a Bill Area of OCO. What number would the claim number start with in ECOM?
6x
Your CPT was denied Non Covered Service. What Pay Code do we use to write off this denial
Pay Code 8110
What form letter would you use to appeal when a denied CPT is allowed as billed per the carrier coding tool?
FL 356, 375 (Mod 25), 364 (Mod 59)
What note type would we use when flipping a fsc to SELF?
528 - AR-PT BILLING
Which application can be used to obtain Doctor's Office Radiology records?
Syngo
You scroll down your Invoice Level and find "NOCHECK6964080CORRPMPP." Where are you looking for this correspondence?
What Pay Code/Transaction would you use when flipping a fsc?
70
If your bundling appeal is denied or if the code is truly bundled, what Pay Code would you use to write off the CPT?
Pay Code 8088
You are on the phone with a carrier representative and they agreed to send your claim back to be reprocessed. What note type would you use?
520 - AR-TAP-1ST LEVEL
North Shore Manhasset shares its Invision with which other hospital?
Syosset
What website would you use to check the eligibility of a BCBS policy?
Availity
What Pay Code would you use to post a Contractual Adjustment?
Pay Code 6380
If your carrier coding tool does not work or if your carrier does not use a specific one, what would you use to check if a bundling situation exists?
Codify
Your corrected claim is missing a claim frequency type, Once corrected and the claim is re-submitted, what outcome would you use?
Pend Chg Edit-Rebill Elec
Which facility based application is accessed through the AccessPad icon on your desktop?
Eagle
You need to see how many global days your procedure code has. What website provides this information?
Codify
For Payer 2, which Pay Codes require Senior Representative approval?
Pay Codes 8131, 8132, 8173
The invoice has Rej Code 1: RPA164 - PA164-Bundling-Review for Modif. What should you be checking next?
Review the coding proof batched in the Sutherland RPA Folder.
You are unable to find medical records for your an invoice with an inpatient location. What note type are you using to request medical records?
375 - AR USE-AR MED REC - INTERNAL REQUEST
Your invoice has an Alt. Visit Number of SF900246009258. Where must you update any insurance information?
Soarian
Where would you obtain the Hospice NPI Number when working a "Patient is Enrolled in Hospice" denial?
Connex
Which Pay Codes are used used to identify a manual rejection posting done by someone internal?
Pay Codes 901 or 900