Working Retro Review Workqueues Ch.11

Question 1

What is a Patient filing order?

Answer 1

List of active and inactive coverages the patient has ever had for historical reference.

Question 2

Visit filing order

Answer 2

1) Filing order save per visit.
2) finalize when visit is checked in.
3) claims sent based on visit filing order.

Question 3

True or false: by accepting the filling order change in the WQ, you only updated the filling order for the specific visit. No other visits filling orders will change.

Answer 3

True

Question 4

Why did you have to manually transfer the balance to Blue Cross Blue Shield in the situation??

Answer 4

CIGNA remain primary and had already paid.

Question 5

True or false: A Line in a retro review were cute is a guarantor account.

Answer 5

False

Question 6

Which of the following can cause a visit to be evaluated in a retro review WQ?

Answer 6

1) Adding a new coverage to a patient filing order.

2) Removing a coverage .

3) Changing the filing order on the patient .