What is HIPAA?, Who is our Assistant Vice President?, Where in the building can you FaceTime?, What is the MoO?, When can you wear jeans?, What is Piggybacking?, Who is your admin?, What is our blackout month? Why?, What does CMO stand for? Who is in charge of CMO?, What year did BCA form?, Determination: Observations under 48 Hours, Which of the provider fields get filled in on the provider screen for Inpatient Elective?, Which of the provider fields get filled in on the provider screen for Inpatient Emergent Admissions??, Determination: IP ER admit DX: R10.84, Determination: IP ER admit DX: I50.9, What action do you take if you get a call about an IP admit for a C-Section?, What is a CSR?, Determination: Discharge date after the End Date for a D/C request., Determination: IP Surgery 27130, Determination: IP Surgery 33365, What are the 4 types of Inpatient Specialty Facilities? Bonus: Can I approve any of those?, What is the Place of Service for DME (typically)?, What would you do with L0112 request for a newborn?, What type of service is S9129?, Which of the provider fields get filled in on the provider screen for a Rendering request?, What should you NOT do on the DME CAQ that asks the price?, ____&____ after Cohere tells you a request is OPNR, What happens to Rental Requests (aside from CPAP & Oxygens)?, Determination: E0601, 10-month rental, Publix Group, Determination: E0601, 10-month rental, Aiken County (Active), Vendor for Seaboard Corp, Buy & Bill, J3247 (Brand Name Cosentyx), Vendor for Harrell's, LLC, 78608, Vendor(ish) for Icuba, 44950, Who does the heavy lifting?, Vendor for Women's Care, S9131, ____&____ after Cohere tells you a request goes to a Vendor, Vendor for Publix, 29880, Vendor for Stellar Companies, Inc., 81311, Name the 4 services that Evolent Manages., What always wins?, Which of the provider fields get filled in on the provider screen for an Outpatient request?, Determination: Fully Insured, 15002, 25907, 67343, Determination: NueHealth, 31599, Determination: NexTraq, 41116, Determination: Netsmart Technologies, 95810 (Age 33), Determination: Aiken County (Active), 95808 (Age 3), Determination: Publix, 49491, Determination: Group & Individual, 19318x2 DX: M54.50, OCL and COB both say N on the SEIN screen. What does that mean?, Which Cohere Determination triggers US to start OUR research?
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