Resolving denials Ch.10

Question 1

Workflow diagram:

Answer 1

Question 2

Follow up WQ’s: what are they?

Answer 2

1) a list of outstanding claims that need to follow up.

2) a list of claims that have been denied.

Question 3

Charge correct action:
what is it?

Answer 3

Updates a charge by voiding and reposting it with edits.

Question 4

Charge correct action: when to use it?

Answer 4

To edit a charge after it has been posted to an account.

Question 5

Demand claims:

Answer 5

1) create a claim immediately
2) only creates paper claims
3) bypasses error checking
4) removes charges from claim queue

Question 6

Review CH 10: Claim denial that should be reviewed, are caught by the system and place in which type of workqueues?

Answer 6

Follow workqueues

Question 7

Review ch.10: If a claim must be printed to a paper right now, the user should perform which action?

Answer 7

Demand claims

Question 8

Review ch.10: If a denial cannot be corrected how can you move the balance to the next payer or a guarantor?

Answer 8

Next responsible party