Medrisk

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10 points

We are Received Denial as "Claim not on File". What is the action will be taken?

Sent Fax to Provider

Reconsideration

Call

Rebill

10 points

If we Received Denial as "Worker's Compensation Claim not a work related injury". What will be the first action?

Make a Call and get the reason

Re-sumbitted to the carrier

Compare the DX with Provider HCFA and MM

Sent Reconsideration

10 points

1. Which State WH CPT Codes are not handled by Medrisk?

CA & FL

FL & OH

OH & FL

CA & OH

10 points

When we are Received Denials in MCPS & PMA which action will be taken?

Complete the original Package

Complete the denial Package

Reconsideration

Sent Inquiry

10 points

Rendering Provider NPI# is which coloumn in HCFA-1500?

33 A

24 J

17 B

33 B

10 points

In same Case WH & PT Codes are Received and billed less allowance and Provider met a Day rate. What is the action taken of this Scenario?

Create a new case & move the charges

Reconsideration

Paid as Billed

Billing Issue

10 points

Referring Provider NPI# is Which Coloumn in HCFA-1500?

24 J

17 B

33 B

33 A

10 points

Pro-longed CPT 99358 we are Received Denial as "Need to Medical Records". What action will be taken?

Sent Reconsideration

Write off & Sent Fax to provider

Sent Inquiry

Sent Rebill

10 points

We are received Denial as "Claim Termed" and we are allowed less savings. which action will be taken?

Call

Write Off & Sent fax to provider

Reconsideration

Sent Inquiry

10.

10 points

We are received Denial as Duplicate and Processed on 05/13/13. But as Per Website Claim still in Processing from 04/26/13. What action will be taken?

Call

Write Off

Reconsideration

Inprocess for payment

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