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Patient Bootcamp Day Five

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Patient Access Bootcamp Day Five Material
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4 Categories 16 Questions
What is one reason why a claim would be denied? What is denial management important?
Game Language : English
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Questions
Number of categories
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5
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Category 1
Q.
What is one reason why a claim would be denied?
A.
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Missing incorrect info, duplicate claims, services not covered, TMF
Q.
What is denial management important?
A.
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Denial management is an important part of Revenue cycle management because it stops the revenue from coming in
Q.
What are remit codes?
A.
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Remit codes are used to identify denial reasoning and provide organizations like us a reason for the adjustment.
Q.
How many claim denials are preventable?
A.
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90%
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Category 2
Q.
What do coders do?
A.
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Medical Billers and Coders can specialize in coding patients’ medical information for Specially trained staff identify medical diagnoses and procedures and document them in a patient’s medical record as universally accepted codes, such as current procedural terminology (CPT) code and International Classification of Diseases (ICD) code.
Q.
What does CPT stand for?
A.
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Current Procedural Terminology
Q.
What is Charge Capture?
A.
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Charge Capture refers to the process physicians use to record information about the services they provide to be put into a medical claim for billing.
Q.
What is Clean Claim Initiative?
A.
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These are claims that get reviewed and upon initial receipt, the payer expedites reimbursement and improves cash flow
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Category 3
Q.
What does AR mean?
A.
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Accounts Receivable
Q.
What does someone in an AR role do?
A.
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in Credit Balance Resolution, Cash Applications and collection of outstanding balances from insurance payors.
Q.
What is a write-off?
A.
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A write-off is the amount deducted from a bill
Q.
What is a contractual adjustment?
A.
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A contractual adjustment is the amount that the carrier agrees to accept as a participating provider with the insurance carrier
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Category 4
Q.
What are proxies?
A.
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Parents/Legal Guardians
Q.
What age can a patient have access to their own MyChart?
A.
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13
Q.
What department gives MyChart Access to DCF works or diminished capacity patients?
A.
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HIM
Q.
When can a grandparent have access to MyChart?
A.
Clone to My Questions
Never
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Clone to My Questions
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