This class was created by Brainscape user Elisa Perkins. Visit their profile to learn more about the creator.

Decks in this class (12)

Prior Auth Process
Which hcp is responsible for diag...,
2 on average how much time each w...,
3 under the prior auth system who...
10  cards
Insurance Policies and Payments
Case question a pt receives a pre...,
The privacy rule has two approach...,
What is an example of an anti kic...
10  cards
Compliance, HIPAA, Security, Fraud and Abuse
What is the first step in verifyi...,
2 true false pregnant women may b...,
Which of the following medicare p...
10  cards
Med Records and the Prescriptions
Any care that is _________ requir...,
Dr valejos sent her patient merri...,
True false it is not necessary to...
10  cards
Fundamental Before the Prior Auth
True false even if your organizat...,
What information should be includ...,
For which of the following are ic...
10  cards
Methods of Communicating the Prior Authorization Request to the Insurance Company
Which method of submitting a prio...,
Which statement is true reducing ...,
What information can users see on...
10  cards
Service Line and Medication Prior Auth Requests
Dr wang has prescribed physical t...,
Where can prescriptions be found ...,
True false initial outpatient ver...
10  cards
Special Considerations for Service Orders
A radiation oncologist writes an ...,
Which facility generally provides...,
A patient is prescribed suboxone ...
10  cards
Out of Network Waivers
What is a step process insurance ...,
If a potential error is made by t...,
True false it is the responsibili...
10  cards
Coverage Determination Types in Medication Prior Authorizations
What type of information can be u...,
What is medicare part b brand gen...,
In step therapy in order for a st...
10  cards
Authorizations Denials and Appeals
Who is typically reviewing at the...,
Which of the following is helpful...,
Where can forms and documentation...
10  cards
The Future of Prior Autos
Which of the following are charac...,
True false the centers for medica...,
What percentage of drug sales is ...
10  cards

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PACS

  • Class purpose General learning

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