Basics DPD Resolution Grid Google Drive Res Q
100
what is our BMC Patient accounting system?
EPIC
100
What is 180 days?
Timely to bill the patient from the remit date
100
Who to contact for DaVita claims status?
Kim Dutka 386-626-5518
100
What is 150 days?
timely filing for an appeal to BMCHP
100
What is Select Account?
button that brings you to the account next in your work queue
200
Who is our Clearinghouse?
nThrive
200
What is MMIS?
Portal used for the following: HSN eligibility, Medicaid eligibility/claim status, Medicaid corrected claims
200
What is request an adjustment?
resolution for BCBS DX not covered 86141 denial
200
What is 866-626-3705?
phone number to reach Metlife
200
What is My Page?
the section to keep up with your personal productivity and quality information
300
Who are the Team leads?
Shanita Rice, Richena Parker, Cicely Cooke, Wendi Presley, Terrell White
300
What is the 90 day waiver form?
form used for Medicaid timely filing appeals
300
What is GY/GZ?
Modifiers that indicate services are non covered, due to BMC does not obtain ABN's
300
What is Appeal -Correct Verbiage?
document used for the comment section of review forms
300
What is Account Search?
button used to look for an account not in your work queue
400
What is prior authorization?
Permission from the insurance to perform a particular service
400
What is incarcerated patients?
identified by "corrections"
400
What is request coding review for AY modifier?
Medicare resolution for ESRD overlap
400
What is BMC Collector Duties?
job aid used to describe what is needed to be done and in your balance note for each status code
400
What is employee directory?
section used to search for other coworkers in ResQ
500
What is OP no authorizations and Timely filing appeals?
only two types of appeals done by the VBO for the BMC team
500
What is contractual?
adjustments posted in real time
500
What is Q3014
telemedicine code required for Medicare
500
What is PHI?
something to never add to the google drive
500
What is Similar accounts?
section at the bottom of your account to work any accounts that may be alike to the one you are working






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