Medical Records (LifePoint) Knowledge Check

What is the reason code for a Medical Record Denial?

• CO-97

• CO-22

• CO-252

• CO-242

Which tool we are using to request the medical records?

• (A) CIOX

• (B) ScanStat

• (C) A & B

• (D) None of the above

When will we go for EPARS escalation?

• Missing specific payer-requested documents (H&P, orders, medicine administration etc)

• Missing physician documentation to support the service provided

• If the ROI vendor has not uploaded the requested records within 7 days of the initial request.

• All of the above

How can we submit the medical records to the Insurance?

• Payer Website

• Fax

• Handoff From R1D by using SHOV Bot

• All of the above

What should be the correct sequence as per priority for submitting the medical documents?

• Fax, SHOV Bot, Payer Website

• Payer Website, Fax, SHOV Bot

• Payer Website, SHOV Bot, Fax

• None of the above