
Do you know your rework strings?
Authored by Anne Helbling
Education
Professional Development
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5 questions
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1.
MULTIPLE CHOICE QUESTION
30 sec • 1 pt
What Rework String would you use for this call claim that came from PCR, on 12/13/22?
NEW INFORMATION RECEIVED TO REWORK AN ADJUDICATED CLAIM
SYSTEM ISSUE PER COMMUNICATIONS RELEASED ON 122322 - PLEASE DELETE OFF ALL
LINES AND PROCESS PER INQ SCREEN OR THE IOP. ANESTH CODE NEEDS TO BE ON ONE
LINE AND NOT SPLIT OUT ON MULTIPLE LINES. SYSTEM HAS BEEN FIXED.
RA122322Z45
RA121322Z45
RE122322V15
RE121322V15
Answer explanation
Correct answer RE122322V15.
PCR did not review the issue since it was a system issue.
2.
MULTIPLE CHOICE QUESTION
30 sec • 1 pt
RA032023R45-New information received to rework an adjudicated claim
Original DCN 230320055341 this is not a duplicate claim this is a corrected claim to
EBY12XG8P00. Please reprocess thanks
RA032023R41
RE032023H28
RA032023R45
RE032023H14
3.
MULTIPLE CHOICE QUESTION
30 sec • 1 pt
RE032123H14-Incorrectly denied or paid, not otherwise described Urg02 Pls review to reprocess this claim. There is no billable limit for physical therapy thanks. diana/7579371373
RA031223H15
RE031223H23
RE032123H14
RE032123H15
4.
MULTIPLE CHOICE QUESTION
30 sec • 1 pt
RA031723R45-New information received to rework an adjudicated claim
Original DCN 230317077834. A corrected claim has been received with addition of modifier Q8 for procedure code 11055. Please reprocess. Thanks
RE030723R45
RA031723R45
RA031723R41
RA031323R41
5.
MULTIPLE CHOICE QUESTION
30 sec • 1 pt
RE032123R42-All other fee errors. RMSO procedure code 70491 is not payable as the billed procedure code is not authorized. We paid $208.53 for this claim.
We should have allowed and paid $0.00. This is an overpayment of $208.53.
Member has no responsibility.
RA032123R42
RA032123H42
RA032123D41
RE032123V42
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