Overview week one processing

Overview week one processing

Professional Development

23 Qs

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Overview week one processing

Overview week one processing

Assessment

Quiz

Other

Professional Development

Practice Problem

Medium

Created by

jessica zalazar

Used 5+ times

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23 questions

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1.

MULTIPLE CHOICE QUESTION

1 min • 1 pt

Looking at the DCN below which the claim that was received in DDC (paper claim)

23121FB2222

23061272222

23011BC2222

23073BQ2222

2.

MULTIPLE CHOICE QUESTION

1 min • 1 pt

True or False you are allowed to change Clinical editing (claim xtend)

true

false

3.

MULTIPLE SELECT QUESTION

1 min • 1 pt

when we see the CX pop up what factors do we look for in the claims x-tend editing) choose all that applies

If CX made any changes to Billed code

Look at the lines that did not allow

Look at the support code field

Any additional lines in Claim x-ten with a history DCN

4.

MULTIPLE CHOICE QUESTION

1 min • 1 pt

the pay percentage field in claim x-tend is the allowable amount not co-insurance. True or false

true

false

5.

MULTIPLE CHOICE QUESTION

1 min • 1 pt

Modifiers can affect claim xten and how it pays the allow amount. It an increase the allowable amount or decrease. True or False

true

false

6.

MULTIPLE CHOICE QUESTION

1 min • 1 pt

when it comes to negotiate discount for Non-par provider is that negation done by a vendor (MPI) or Us?

Us

Vendor

7.

MULTIPLE SELECT QUESTION

1 min • 1 pt

what three factors below will indicate if you need to manually price a claim for a PAR claim.

  1. Pricing edit on the claim

  1. Any line allows in full (writeoff field is blank)

  1. Any line denies in full (writeoff field has the lines charge showing)

If provider non-par

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