A/R 101
On the corporate organizational chart what dept does A/R fall under?
Revenue Cycle
What carrier requires only a reopening to correct claims?
Medicare
What is done with a posting error on a claim?
CRM Case
When a call was made to payer and they advised that they are sending the claim back for processing, what kick is the claim put in?
REPROCESS
AR Leadership team consists of Cherri, May, Teresa, Rob, Jen and...?
Cheryl
What type of insurance has limited benefit plans?
Medicaid
What SECONDARY action is taken with the claims which Athena caused us to lose revenue?
Tracker on the shared drive
What action places claim in billed status and requires a 2nd action to migrate claim to proper kick code?
CIP
What is the new group name that is used in UT?
HCMG
What 2 carriers have a web portal for all markets which can be utilized with a single login?
United Healthcare/Cigna
How many scenarios are within the ADNPATIENT workflow?
5
Claim denied as there is a need to determine which payor is primary or secondary?
COB
What kick code is used to escalate a claim to leadership to adjust?
None, trick question!
What web portal is used to access Aetna claim information?
Availity
What is referred to as a remittance advice?
EOB
A call was made to payer to follow up on an issue that you are following (i.e. reconsideration, corrected claim, or an appeal) and payer advises that the claim is on file, but still in process, what kick does it go to?
CLMBILLED
When is a claim adjusted?
Immediately
What is out is out state Medicaid adjusted to?
Not contracted
What is the business entity that consolidates claims and transmits to the 3rd party payor?
Clearing house
When the claim is a zero balance and needs to be closed as all work is complete?
RVCLOSE