Week 8
Surprise Billing Knowledge Quiz
Test your knowledge on surprise billing and out-of-area claims with this engaging quiz! Dive into the important systems and practices that ensure accurate claims processing.
Topics covered include:
- Eligibility for Surprise Billing
- Out of Area edits
- Claims processing procedures
- Customer service standards
What system determines if a claim is eligible for Surprise Billing?
Streamline
FEP Direct
Palmetto
All of the above
When working an Out of Area edit, and you need to determine if services were rendered in the processing area, what BL can help you determine that?
A. Out of Area Out of State /Plan Claims
Home VS Host
C. Special Payee
D. Professional Provider Lookup NY
If you send a claim to another area ie pend J, cob, recovery, when the inquiry is returned to you do you need to verify that the action requested was completed before closing your inquiry?
True
False
What do you say at the end of EVERY call?
Have I provider outstanding service for you today?
Has my service been outstanding?
Are you very satisfied with the service I provided today?
All of the above
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