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