Rev Guardian WQs
What is New Revenue
To run a Billing Indicator report, we use this reporting platform.
What is Business Objects
VWOC stands for...
What is Visits Without Charges
When working a claim edit account, we claim this type of revenue.
What is Revenue Retention.
To claim "No Revenue", we use this Billing Indicator
What is JQH
Expected Reimbursement is listed in this tab
What is Liability Buckets
To run a report with cost data, we use this reporting platform.
What is EPSI
We use this Multiple of APC to determine charge rates.
What is 3x APC
The following error type is captured in what WQ, "Claim lacks required device code"?
What is Device Dependent Errors
After an update or addition of a modifier to a charge, we use this Billing Indicator.
What is JHI
This WQ captures accounts that have a charge with Revenue Code 390 but are missing 391
What is the Blood Admin WQ
To create a "Dashboard", we use this reporting platform.
What is Tableau
We transfer HIM accounts to this WQ.
What is WQ 40547
This WQ captures invalid LT/RT Modifiers.
What is the OCE WQ
If an account has a "TBC" billing indicator present, we use this BI.
What is JOE
This WQ captures accounts where administration, cardiology, or mammography charges are present but not the corresponding primary/base code.
What is the Add On Procedure WQ.
The usage column in the CDM is this date range.
What is 12 month from the CDM publish date.
This review compares a cost center's total daily charges against its projected daily charges.
What is Rev Tracker.
This WQ captures two codes that cannot be billed together on Medicare Part B accounts
What is NCCI Edits WQ
To Claim New Revenue, we use this billing indicator.
What is JRU.
This WQ was created to capture the accounts with Nuclear Medicine Revenue Codes and missing CPTs
What is Missing Radiopharm WQ
This type of Merge in Datamart combines two files when they have the same qualifiers.
What is Inner Merge
This review identifies charges where gross charges equals net revenue.
What is Lesser Of
This WQ captures charge related issues after the account had been sent and reviewed by the Payor
What is the Denial WQ
After resolving Mismatched DOS between soft and hard coded charges, we use this Billing Indicator
What is JSB