Category 1
What are the scenarios where we are going to Exclude from sending documents through Revspring?
- If more than 5,000 pages total in the PDF file
- If documents should be uploaded to fax.
- If documents should be sent to certified mail.
- If Red&White UB / CMS 1500 needs to be included in the package
How do you access the letter history screen to review if the account has a pending disposition of scheduled status?
Shift F2
For Tenet or Common Spirit what folder will you move your file to in order for it to be uploaded to VI Web?
VI WEB UPLOAD
If a PDR is requested, where can you find it? (non-clinical)
VIWEB
Facility Code is located where on pg 5 of ACE?
Top Left
Activity code we enter in ACE to notate that the documents were submitted via RevSprings?
INOTE
What’s the file naming convention for merged PDF documents?
MMDDYYYY-ACEUSERID-FAC-PAT#-BUNDLE
What Action code will you use to start the Revspring process?
Where can you find the patients Address?
Page 2
What key do you press to change the displayed "list" in ACE?
This is the activity code the print specialist will use to notate the account if the appeal has been sent to the wrong address. They will include the new address of where this appeal needs to be sent.
QDOIP
What function key can you press to enter a control ID from the Branch/desk screen?
F11
Which action code is used to open the 835 screen?
F7 F0
What pathway do you utilize to get to the PDR Forms?
I://nic/Support_J.Young/PDR Forms
What action code in ACE will prompt a patient look up in VI Web?
F7 HK
This activity code will hold notes telling you what the appeal specialist needs to go out with the appeal letter, and where the appeal letter, and docs, needs to be sent.
QSIRE
Where can you locate the address to send out an appeal?
Q Activity Codes Notes
When would you use the QRWAS activity code to notate the acct?
when documents cannot be submitted via Revspring
When transferring the final combined file, what TWO folders do you transfer it to (for the Revspring process)?
RevSpring & VI Web Upload
What activity code is used to send back an acct if the insurance company on ACE and the appeal are different?
QRRAS
Your file name cannot exceed for how many characters?
60 characters
When can you save a PHI document to your desktop?
Never
When you first open the account, what are you looking for?
Q notes
True or False: You will move your file to the Revspring "Appeal" Folder Before you do the L9 process.
TRUE
(For Clinical Appeals) What info is needed to fill in for the PDR if there’s no yellow highlighted?
-Patient’s full name,
-Date of Service,
-Date of Birth,
-Claim number,
-Member ID# (listed as policy number on appeal letter),
-Total charges)