CRCR part 4
The liens types - answeragreement, judicial process, statue
The third party payer follow up and account resolution activities include -
answerelectronic work list after untimely non payments, comparison of actual and
expected reimbursement, adjustment posts, submitting secondary claims if necessary
liability payers - answerworkers' compensation, auto insurance, premises medical
coverage for property cases home owners
based on policy what can be done with unpaid clean third party claims - answerbecome
the patient responsibility after some days
work flow payment cycle - answerclean claim cycle should be determined for all major
health plans if timely payments not received a electronic work list should be maded
What is Medicares work flow payment cycle for clean claims - answer14 days
impact payment turn around techniques for third party include - answeruse electronic
claims submission, send hard copy claims via over night mail, send high dollar hard
copy claims via registered mail with attachments, closely monitor payment timeliness
and back logs of major health plans
Name the statutory liens - answeremployee, landlord, material-man & mechanic, tax
subrogation - answerupon being billed the healthcare plan may process the claim for
reimbursement and subsequently pursue payment from the liability payer
financial assistance policy key elements - answerstatement of mission & financial
assistance, payment, in & out patient deposit requirements, payment methods, payment
arrangements & bad debt guidelines
What is done with a remaining open balanced after all insurance payments have been
received and posted - answerpatient responsibility
The liens types - answeragreement, judicial process, statue
The third party payer follow up and account resolution activities include -
answerelectronic work list after untimely non payments, comparison of actual and
expected reimbursement, adjustment posts, submitting secondary claims if necessary
liability payers - answerworkers' compensation, auto insurance, premises medical
coverage for property cases home owners
based on policy what can be done with unpaid clean third party claims - answerbecome
the patient responsibility after some days
work flow payment cycle - answerclean claim cycle should be determined for all major
health plans if timely payments not received a electronic work list should be maded
What is Medicares work flow payment cycle for clean claims - answer14 days
impact payment turn around techniques for third party include - answeruse electronic
claims submission, send hard copy claims via over night mail, send high dollar hard
copy claims via registered mail with attachments, closely monitor payment timeliness
and back logs of major health plans
Name the statutory liens - answeremployee, landlord, material-man & mechanic, tax
subrogation - answerupon being billed the healthcare plan may process the claim for
reimbursement and subsequently pursue payment from the liability payer
financial assistance policy key elements - answerstatement of mission & financial
assistance, payment, in & out patient deposit requirements, payment methods, payment
arrangements & bad debt guidelines
What is done with a remaining open balanced after all insurance payments have been
received and posted - answerpatient responsibility
