Todays Game

Abbrevations

100

Health Maintenacne Org

HMO

200

Dual Elig Special Needs

D-SNP

300

No Claim on file

NCOF

400

CRN

Claim remittance number

500

WWND

What would Nicole do?

What do I do?

100

You need to identify a patient, name patient information can we use to confirm identity. 

Name, DOB, Address, Ins info, SSN.

200

You know the patient whos account is assigned to you.

Inform supervisors

300

You need to call in late but you cannot get in touch with your supervisor or coordinator, 

you call one of the phone #s listed in OneNote for other supervisors and managers. YOU MUST SPEAK WITH SOMEONE. 

400

The insurance you are working does not have a provider portal?

Call

500

When a patient begins to get upset, and start to yell or call you names,

you say " OK, thank you for your time" and hang up. then report to supervisor

Unscramble

100

AOPCH Gnriinat

OHPAC Training

200

Mnypvaoreet

Overpayment

300

Tnreiifiaoeccrt

recertification

400

Iufgynqail Cdiremea

Qualifying Medicare

500

Baonahs Jraalpu

Shobana Paulraj

Random ins facts

100

If a patient opts for Hospice- who is then responsible for payment for that timeframe?

Medicare

200

Can a facility be paid for 2 ED events in one day?

Yes- as long as they are NOT clinically related and we can prove it with documentation. 

300

Explan the lesser of clause

INS pays the lowest reimbursable rate for the services, when there is more then on ava. 

400

what insurance has the most members nationwide?

UHC

500

What must be present on a clinical trial claim?

CC 30, DX Z00.6, and the clinical trial #

One word descriptions

100

Illinios

Joss

200

Baby

Christine

300

Newbie

Mike

400

Whiskey

Mel

500

9 Countries

Shobana

One word descriptions 2

100

Teal

Nicole

200

Chevy

Diana

300

Diet COKE

Annie

400

Chris Brown

Jesse

500

Twin

Zelina