SPECIALTY
GENERAL
IMR
LABELING
NEW MAIL
100
What does PM&R stand for?
Pain Management and Rehab
100
One Note has everything we need to be successful in our role.
TRUE or FALSE
TRUE
100
Insured Med Reports are sent to CS?
TRUE OR FALSE
False
100
How do we label PR?
PR or Police Report
100
Coverage Correspondence is sent to the CS?
TRUE or FALSE
200
ER stand for?
Emergency Room
200
What should you look at when first accessing a claim?
PFN!!!!
200
Page Navigation is NOT necessary when it comes to IMRs?
TRUE OR FALSE
FALSE!
200
How do we label a EUO?
MM/DD/YYYY, EUO
200
On Dec Page what is the first thing we want to look at?
IF NI is correct.
NIs names.
300
EMS stands for?
Emergency Medical Services
300
What is the category for Letter of Representation?
Incoming Correspondence/Outgoing Correspondence
300
DME Stand for?
Durable Medical Equipment
300
What do we label a lien from a hospital?
YYYY/MM/DD, hospital lien
300
Do LOR's get sent to the CS?
If it is NOT actionable, don't send to CS. If actionable, send to CS.
400
What does D.C. stand for?
Doctor of Chiropractics
CHIRO
400
Does a Lien get sent to CS and what is the Category?
YES!
CAT: LIEN
400
When you are not able to find the name of Medical Provider what two tools can you use?
****BONUS POINTS****
What else could you do?
NPI
Med Bills
***BONUS***
Previous Med Reports
400
What is the category for Authorization to Release Information and how is it labeled?
CAT: File Documentation
LABELED: ARI/Provider List
400
Returned Mail: EORs
IF the window is on the left on the returned mail, what does this mean?
IF the window is on the right?
Left: NI info needs to be comfirmed.
Right: Provider info needs to be confirmed.
500
What does PT stand for?
***Bonus: MT stands for?
Physical Therapy / Massage Therapy
500
Tell me the Category AND labeling for Disability Slip.
CAT: Medical Reports
LABEL: YYYY/MM/DD-YYYY/MM/DD, disslip, specialty
500
If you opened a IMR and noticed to different specialties how would you label that and what is the Category?
(Ex. Chiropractic & Physical Therapy)
LABELED : YYYY/MM/DD-YYYY/MM/DD, Chiro/PT
CAT: Insured Med Reports
500
How do we label a Litigation doc?
We haven’t learned it; we don’t touch it!
500
What documents are considered Coverage Corr?
-Dec Page
-Policy Book
-Applications
-UW Cover Letter
