CMS1500 Chapter 6

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Across
  1. 4. When a claim is submitted for the 13th office or outpatient hospital visit for a member, what program are they enrolled in?
  2. 5. the location of an eligible Medicaid Member at the time the service is being furnished via telecommunications system occurs.
  3. 7. The location of the physician or practitioner
  4. 8. an electronic media to link beneficiaries with health professionals in different locations.
  5. 12. After claims have been processed weekly, Medicaid posts a Medicaid a proprietary what?
  6. 14. Once the threshold has been reached for a calendar year for a member, what is needed for additional services?
  7. 15. Persons applying for Medicaid or Kid Care CHIP may complete the Streamlined Application with Which Department?
Down
  1. 1. Providers may either upload their documents electronically or complete What form to mail or email their documents.
  2. 2. industry standard Claim Adjustment Reason Codes (CARC) and Remittance Advice Remark Codes (RARC) can be referenced where?
  3. 3. Medicaid requires Providers to include what on professional and institutional claims when certain drug-related procedure codes are billed.
  4. 6. As mandated by Federal regulations, what form must be attached to all claims for sterilization related procedures.
  5. 9. All original claims submitted to Wyoming Medicaid are required to be filed how?
  6. 10. When a Provider’s credits (take backs) exceed their debits (payouts), which results in the Provider owing Medicaid money is called what?
  7. 11. A unique Number assigned to each claim
  8. 13. The deadlines for resubmitting and adjusting claims are