EPIC DPD Resolution Grid Res Q Google Drive
100
What is Account Maintenance?
button used to access accounts in epic
100
What is TOB 135?
TOB that Tufts does not accept
100
What is Request an Adjustment?
Resolution for 86141 DX not covered denial for BCBS
100
What is My page?
location of personal productivity/quality goals and metrics.
100
What is Timely filing matrix?
document name that gives all the timely filing information for each payer.
200
What is Coverages?
EPIC tab where insurance information is found
200
What is MMIS?
name of portal used for Medicaid corrections.
200
What is Request a Rebill?
How to solve Tufts issue with A4550 (resolution).
200
What is Employee Directory?
location of other employees and their profiles of info.
200
What is Team Information?
name of the folder used for BMC
300
What is claims reconciliation?
under liability bucket tab, clearinghouse messages including rejections can be found
300
What is 180 days?
timely filing from the date of EOB to bill the patient.
300
What is GY/GZ?
Modifiers added to services that required an ABN but were billed as non covered and now require adjustment.
300
What is Boston Medical Center 4.5?
Main project tab name (for our team)
300
What is Universal claim form?
Review form used for multiple payers.
400
What is Registration?
EPIC location of updates in coverage, additional coverages, and adding new coverage
400
What is HSN?
name of the BMC charity payer.
400
What is checking the Masshealth fee schedule?
first step to solving a Medicaid CO 8 denial
400
What is Select account?
Button for working your account or how to open a new account.
400
What is Insurance phone numbers?
document name with different numbers for each payer
500
What is History?
EPIC location of past actions and notations of accounts
500
What is an ABN?
notice of non covered service that BMC does not make the patient sign.
500
What is PCP? (Primary Care Physician)
the person to reach out to for a retro referral
500
What is Similar Accounts?
Button used to work multiple accounts that are related to the one you are currently working.
500
What is Masshealth fee schedule?
name of document that tells you what is payable/non payable for Medicaid/Masshealth.






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