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EPIC Study Guide Questions with Correct Answers | Updated (100% Correct Answers)

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EPIC Study Guide Questions with Correct Answers | Updated (100% Correct Answers)

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EPIC Study Guide Questions with Correct
Answers | Updated (100% Correct Answers)
MCO Answer: Managed Care Organization

Nine Maryland MCOs Answer: Aetna Better Health, Amerigroup, Jai,
Kaiser, MedStar Family Choice, MD Physicians Care, Priority Partners,
UHC MCO, CareFirst Community Health Plan

Five Maryland MCOs that have a separate policy # than the MA#
Answer: Amerigroup, Kaiser, MedStar Family Choice, Priority
Partners, UHC MCO

Three processes for verifying MA eligibility Answer: EVS Web, EVS
Phone, RTE

Four types of patients that we EVS Answer: MA, Medicare no
secondary, Prisoners, Self-Pay

Who do we bill for behavioral health for MA? Answer: Optum
Health

SLMB; Who do we bill? Answer: Specified Low-Income Medicare
Beneficiary; Medicare ONLY!

QMB; Who do we bill? Answer: Qualified Medicare Beneficiary;
Medicare and MA


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