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1. When is a CRM used?
A
Only for no auth denials.
B
Anytime a CBO user needs to communicate across CRM Pools.
C
Only for refunds.
2. T/F - CRMs should be used when sending unposted payment info to payment posting.
A
N/A
B
F
C
T
3. To create a CRM, the 1st thing you should do is
A
Click on pt's summary tab.
B
click on Quick CRM.
C
click on New CRM.
4. If you need the CRM to go to coding, you will need to chose the appropriate
A
coder.
B
topic
C
department
5. We use ___________________________ for all non -centralized coded practices including those serviced by HiMagine, PSA's and Mo Bap.
A
BJCMG Coding Review
B
BJCMG Coding Review/HiMagine/PSA/MoBap
C
BJCMG Practice Review
6. What is filled in the communication field on the CRM?
A
the purpose for the CRM review.
B
your name, the date and pt's name.
C
the provider's name
7. Where can you find CRMs that are routed to you?
A
In your email.
B
Under the Epic WQs.
C
Your inbox at the top right of the screen.
8. If you do not need to route the CRM back and the issue is fixed, you can resolve the CRM by
A
Delete the CRM.
B
selecting an option under Resolution and then click the close button.
C
leaving the CRM sit, it will resolve it's self after 14 days.
9. T/F - You should routinely check for CRMs using the CRM search button.
A
N/A
B
T
C
F
10. Once you send a CRM, the invoice should be
A
Transferred to the claims WQ.
B
Deferred for 14 days.
C
deferred in the 9603 ( No Response WQ ) for 90 days and a 14 day billing reminder set.
11. If you do not get a response to your CRM within 14 days,
A
send to CRM No Response email to Tammy.
B
resend the CRM.
C
resolve the CRM and adjust the claim.
12. T/F - Each morning you should check on your CRMs.
A
N/A
B
F
C
T
13. If there has been no response to the CRM in 90 days,
A
adjust to the root cause and resolve the CRM.
B
resend the CRM.
C
send another email to Tammy.
14. We should respond to CRMs sent to us within
A
14 days.
B
9 days
C
7 days