Authorizations Jeopardy Template

DME	INPATIENT AUTH'S	OUTPATIENT	HOME HEALTH	FINAL CATEGORY
100 COASTAL CARE IS A VENDOR THAT DUPPLIES DME ITEMS TO OUR MEMBERS IN WHAT STATE FLORIDA	100 AN AUTHORIZATION IS NEVER REQUIRED FOR AN OBSERVATION AS LONG AS THE PROVIDER IS PAR FALSE	100 ALL PRE-PLANNED INP AUTH REQUEST SHOULD BE CREATED AS PA TRUE	100 WHAT IS THE MOST COMMON PLACE OF SERVICE FOR HOME HEALTH 12	100 ACCORDING TO THE LINE OF BUSINESS DETAIL LIST WHST IS THE TOC TIMEFRAME FOR FL MEMBERS 30 DAYS
200 WHAT CASE TYPE DOES DME AUTHORIZATIONS CREATED AS PA	200 HOW SOON AFTER A NOTIFICATION OF A NON DELIVERY ADMISSION ARE CLINICALS NEEDED 24 HRS	200 WHERE CAN YOU FIND THE MEDICAL OPH JOB AID CENTRAL POINT	200 IN WHICH STATE ARE WOUND VACS NOT CONSIDERED HOME HEALTH HI	200 AUTHORIZATION IS NOT REQUIRED FOR A NON PAR PROVIDER FOR OFFICE VISITS IF THE MEMBER IS IN THEIR TOC PERIOD FALSE
300 HOW MANY DAYS ARE MOST EOC AUTHS CREATED FOR 60	300 THE REQUEST DATE IS ALWAYS THE SAME AS THE ADMIT DATE FALSE	300 WHAT IS THE PLACE OF SERVICE CODE FOR HOME HEALTH 12	300 WHAT DOES EOC STAND FOR EPISODE OF CARE	300 IF HIPAA IS VERIFIED THROUGH THE IVR IT'S APPROPRIATE TO VERIFY AGAIN WHEN TALKING TO THE PROVIDER JUST TO BE SAFE FALSE
400 WHAT IS THE DOLLAR AMOUNT DME HAS TO HAVE IN ORDER TO NOT REQUIRE AN AUTH UNDER $500/ $750 IN NED	400 PROGENY REVIEWS ALL NICU AUTH'S FALSE	400 WHAT IS THE CORRECT SUB TYPE FOR AN OUTPATIENT OFFICE VISIT CTD	400 HOME HEALTH AUTHS ARE CREATED AS PA'S TRUE	400 HOW MANY DAYS DO YOU APPROVE A C-SECTION DELIVERY 5
500 A C-PAP MACHINE IS CONSIDERED A DME PURCHASE ITEM TRUE	500 YOU RECEIVED A PHONE CALL FROM A PROVIDER TO NOTIFY US A MEMBER WAS ADMITTED TO THE HOSPITAL 4 DAYS AGO. IS THIS CONSIDERED RETRO NO	500 BEHAVIORAL HEALTH REQUEST ARE DIRECTLY RELATED TO THE MEMBES MENTAL HEALTH TURE	500 SN STANDS FOR SKILLED NURSING FACILITY FALSE	500 WHAT IS THE SUB TYPE FOR SIPP INPATIENT RESIDENTIAL

Authorizations

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