EPIC | DPD | Resolution Grid | Res Q | Google Drive |
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What is Account Maintenance?
button used to access accounts in epic
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What is TOB 135?
TOB that Tufts does not accept
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What is Request an Adjustment?
Resolution for 86141 DX not covered denial for BCBS
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What is My page?
location of personal productivity/quality goals and metrics.
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What is Timely filing matrix?
document name that gives all the timely filing information for each payer.
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What is Coverages?
EPIC tab where insurance information is found
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What is MMIS?
name of portal used for Medicaid corrections.
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What is Request a Rebill?
How to solve Tufts issue with A4550 (resolution).
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What is Employee Directory?
location of other employees and their profiles of info.
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What is Team Information?
name of the folder used for BMC
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What is claims reconciliation?
under liability bucket tab, clearinghouse messages including rejections can be found
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What is 180 days?
timely filing from the date of EOB to bill the patient.
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What is GY/GZ?
Modifiers added to services that required an ABN but were billed as non covered and now require adjustment.
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What is Boston Medical Center 4.5?
Main project tab name (for our team)
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What is Universal claim form?
Review form used for multiple payers.
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What is Registration?
EPIC location of updates in coverage, additional coverages, and adding new coverage
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What is HSN?
name of the BMC charity payer.
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What is checking the Masshealth fee schedule?
first step to solving a Medicaid CO 8 denial
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What is Select account?
Button for working your account or how to open a new account.
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What is Insurance phone numbers?
document name with different numbers for each payer
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What is History?
EPIC location of past actions and notations of accounts
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What is an ABN?
notice of non covered service that BMC does not make the patient sign.
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What is PCP? (Primary Care Physician)
the person to reach out to for a retro referral
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What is Similar Accounts?
Button used to work multiple accounts that are related to the one you are currently working.
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What is Masshealth fee schedule?
name of document that tells you what is payable/non payable for Medicaid/Masshealth.
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