Collections-Government
Name: 


A red asterisk (*) indicates required questions.

  1. What steps do you take when the EOB reflects "Claim denied as Patient cannot be identified as our insured and/or patient can not be identified"?
    *


  1. Scenario: If you recieve a denial for invalid POS. What steps would you take?
    *


  1. Scenario: Denial
    Not covered, this procedure requires precertification as specified on the Provider Precertification List. What action do you take?
    *


  1. Scenario: Payer was already sent the medical records multiple times, however states they never recieved them. Should you take further action? Please explain if yes or no.*


  1. Which of these best suits your personality?*
    Convenient
    Diversity
    Investigational
    Friendly


  1. According to Adjustment Code 97 what action or actions do you take?
    *


  1. Which of the following do you prefer to stay away from in your job?*
    Routine work
    Calling customers (internal)
    Calling customers (external)
    Researching
    All of the above


  1. What do you do with this type of denial?
    *


  1. Scenario: Account has been reassigned to your call list. Notes reflect three paper appeals were previously submitted and the outcome was the same, denied. What do you do?
    *
    Adjust
    Place a call to the payer and treat it as a new account
    Escalate to lead or supervisor
    Ask for assistance from a peer
    None of the above


  1. What are the steps you take for Medical Necessity denials?*





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