pH Verification Assessment 2020

15 Questions | Total Attempts: 87

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pH Verification Assessment 2020

You have 30 minutes to complete the assessment. Click on review in order to review your questions prior to submitting


Questions and Answers
  • 1. 
    Which of the following is a must read document before making any call and it's part of your case research?
    • A. 

      Cover Page of the Fax Packet

    • B. 

      Letter of Representation

    • C. 

      Project Guidelines File

    • D. 

      Medical Record of the patient

  • 2. 
    Which of the following options are considered as a valid attempt before moving case to Data Research. (Multiple Choice)
    • A. 

      Recording stated that the office is closed for the day.

    • B. 

      Line just keeps ringing with no answer

    • C. 

      Left voicemail at facility

    • D. 

      POC kept us on hold for over 5 mins

  • 3. 
    You can move ANY case/Provider ID to Data Research True or False?
    • A. 

      True

    • B. 

      False

  • 4. 
    What is the Offshore phone number of Advantmed?
    • A. 

      800-304-7804

    • B. 

      800-698-1690

    • C. 

      877-887-1164

    • D. 

      877-877-1164

  • 5. 
    What is the zip code to Advantmed headquarters/head-office?
    • A. 

      97250

    • B. 

      92705

    • C. 

      92507

    • D. 

      95750

  • 6. 
    POC at provider's office states, that they are very busy with other medical records audit and will not be able to send us the records before our deadline. Which Review Pend sub-category would you select?
    • A. 

      Fee Approval

    • B. 

      Provider Delay

    • C. 

      Non-Cooperating Provider

    • D. 

      Member Related Issue

  • 7. 
    We do not have the approval to send out the medical records request and we verified all the required details to send request. Which action would be selected?
    • A. 

      Partial Verification

    • B. 

      Verification Done

    • C. 

      Fax Request

    • D. 

      Wait for approval then call

  • 8. 
    If medical records person is busy/not in, but the operator can verify necessary information to send the request. What should we do next?
    • A. 

      Hang up the call

    • B. 

      Proceed to verify the required details

    • C. 

      Change callback date

    • D. 

      Document the case in "New Contact"

  • 9. 
    "Provider ID" is unique identification number for each patient or member in the portal. Is the above mentioned statement True or False.
    • A. 

      True

    • B. 

      False

  • 10. 
    Select "Send Request" will automatically mark the case as Verification Done? Is the given statement True or False?
    • A. 

      True

    • B. 

      False

  • 11. 
    If the Providers do NOT Share Charts, we can still mark duplicate records. Is this statement True or False?
    • A. 

      True

    • B. 

      False

  • 12. 
    Even after rebuttals, the facility is not ready to release records without payment. Which Review - Pend sub-category would you mention in your comment before moving the case to Review-Need Help?
    • A. 

      Provider Delay

    • B. 

      Non-Cooperating Provider

    • C. 

      Fee Approval Required

    • D. 

      Client Retrieval

    • E. 

      Maximum Attempts Made

  • 13. 
    Single Request means a combined request for multiple Associated Providers working under same facility. Is the statement True or False?
    • A. 

      True

    • B. 

      False

  • 14. 
    What does NCI stand for?
    • A. 

      No Call Instruction

    • B. 

      New Customer Information

    • C. 

      Next Call From India

    • D. 

      Next Call Instruction

  • 15. 
    Even after rebuttals, the facility ask for consent letter from the patient. Which Review -Pend sub-category would you move this case to?
    • A. 

      Provider Delay

    • B. 

      Member Related Issue

    • C. 

      Non-Cooperating Provider

    • D. 

      Fee Approval Required

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