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EPIC STUDY GUIDE QUESTIONS AND ANSWERS WITH COMPLETE SOLUTIONS 100% CORRECT!!!

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EPIC STUDY GUIDE QUESTIONS AND ANSWERS WITH COMPLETE SOLUTIONS 100% CORRECT!!!

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EPIC STUDY GUIDE QUESTIONS AND
ANSWERS WITH COMPLETE
SOLUTIONS 100% CORRECT!!!
MCO -ANSWER ✔✔Managed Care Organization


Nine Maryland MCOs -ANSWER ✔✔Aetna Better Health, Amerigroup, Jai,
Kaiser, MedStar Family Choice, MD Physicians Care, Priority Partners, UHC
MCO, CareFirst Community Health Plan


Five Maryland MCOs that have a separate policy # than the MA# -ANSWER
✔✔Amerigroup, Kaiser, MedStar Family Choice, Priority Partners, UHC MCO


Three processes for verifying MA eligibility -ANSWER ✔✔EVS Web, EVS
Phone, RTE


Four types of patients that we EVS -ANSWER ✔✔MA, Medicare no secondary,
Prisoners, Self-Pay


Who do we bill for behavioral health for MA? -ANSWER ✔✔Optum Health


SLMB; Who do we bill? -ANSWER ✔✔Specified Low-Income Medicare
Beneficiary; Medicare ONLY!


QMB; Who do we bill? -ANSWER ✔✔Qualified Medicare Beneficiary; Medicare
and MA

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