Duke HB Mar-16 monthly test

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1.
1 point
Claim denied for Authorization number and provider is out of net work, what could be your next action?
2.
1 point
If patient convenience charges is been denied by Medicaid, it should be
3.
1 point
For signature in Waiver Liability form need to send to PRMO?
4.
1 point
Medicaid MQBB (Q) MQB/QMB charges can be adjusted as Non covered
5.
1 point
Modifier 76 used for Repeat procedure by another physician
6.
1 point
What is MCD Alliance behavioral health TFL?
7.
1 point
We can find ABN singed by patient in field locator __________ in HCFA 1500 form
8.
1 point
Claim dos on 12/02/2015 and claim was processed towards pt deductible without any payment on 01/05/2016 by commercial insurance, Users requested an EOB more than 3 times but EOB not received yet working the Account on 03/21/2016, What would be the action part
9.
1 point
Genetic codes such as 81405 & 81479 denied as fee schedule not available. Per update need to tickle for 30 days
10.
1 point
If claim paid date more than 30 days and still no EOB received after obtaining the complete payment information and check cashed date, what would be action part
11.
1 point
Patient having Medicare, received denial as incorrect DOB, To obtain patient correct DOB
12.
1 point
Procedure code A9577 denying for invalid NDC – Need to change the Rev code from
13.
1 point
Claim denied for Medical records, If Medical records not found in Quick release or in On-base need to
14.
1 point
Medicare RTP coding denials should be moved to HIM review for further resolution
15.
1 point
HCPCS stands for
16.
1 point
What would be the action part if BCBS denied the CPT 76377 and 76376 for No Authorization?
17.
1 point
Premiums for workers' comp insurance are paid by the employer
18.
1 point
Medicare policy differs from state to state whereas Medicaid policy remains same across all the states
19.
1 point
Waiver of liability form singed by provider and given to guarantor in case patient is minor
20.
1 point
Tricare denied for attestation request, In this case we need to move the claim to?