PAMA July 28, 2020 admin Leave a comment Welcome to your PAMA 1. What is the first step in order for one to do billing in PAMA? A. Check the service adjustment on the denied claim B. Check first the denied claim reference # C. Copy paste PAMA service program ID receipt# to receipt ID on claim inquiry page, Put in service dates 2. It is where you paste all the information required for PAMA billing. A. Insent received section B. Billing Workstation C. PAMA claim inquiry page 3. What does DOS stands for? A. Date of sickness B. Date of service C. Death of service 4. Typically we do not work on denied claims however if the denied claim for the gloves is more than 6 months from DOS we can still reprocess the claim as an original claim. A. True B. False 5. After all the necessary fields/lines are filled out and still finds red marks. What does this tell you? A. This means somewhere some words are mispelled wrong B. Ignore the red marks and just submit C. This means there's an incorrect or missing information check all details there could be something that needs correction or missing out. 7. If you get a denial from PAMA website: has private insurance, no insurance payment, or dental indicated what does this mean? Choose the right answer below A. This does not mean anything B. We never get a denial from PAMA C. This means customer have more than just PA Medicaid and Medicare part has or have other private insurance (separate product is available) need to add private insurance 6. When do we process a denied claim anymore. A. We cannot process a denied claim anymore. B. We process denied claims only after 6 months C. If the denied claim for the gloves is less than 6 months from DOS we can still reprocess the claim as an original claim. 8. It is the carrier code for the health partners. A. Number 242 B. Number 511 C. Number 545 9. How do we know if the consumer has private or commercial insurance? A. Check the consumer eligibility in any website B. There's no need to check eligibility it's always right C. Check the consumer eligibility in the corresponding website 10.What does A4927 stands for? A. Gloves B. Incontinence Products C. Diapers Time is Up!
