4200 Case Study

Decent Essays
We are still in the process of vetting the data however wanted to provide you with an update of what we have identified thus far.

Please note that the excel spreadsheet has multiple tabs

Payments:
• The data is pulling the coverage periods correct for the cases reviewed. However, we have identified instances where the 45001/2 cases in NCFAST are sometimes not agreeing to the 4200 case NCFAST screens (for example, FNSPAYMENTSID 15935001). Can you please provide the FDs that document the restoration and supplemental underpayment cases.
• Benefit Issued Date – NCFAST researching
• 39 blank FA decisions – NCFAST researching. OSA has reviewed some of the cases and identified the following scenerios that may be causing you issues: split decisions, postponed decisions, and transitional cases. Please see our notes in the attached excel spreadsheet.
…show more content…
It appears that 1,577 of those cases are currently closed. That could potentially be something that needs to be corrected in your script. I went through some of the other cases and couldn’t identify why they were excluded. I have attached a listing of FNSPAYMENTSID for you to perform your own research.
• Cases where the assistance units provided do not align with the frontward facing application – NCFAST is working on getting the data from the BLOB versus using the Groups – Assistance Units tab
• Business staff should check out the 216 year old DO NOT USE member for ASSISTANCEUNITSID 187273279

Certifications:
• Instances where the same certificaiotn period is in the data twice, once as application and the other as a blank recertification. Refer to FNSCERTIFICATIONSID 3856647 (correct) and 38783122 (incorrect). This is throwing our analysis off and we will need this to be corrected before we can analyze

Related Documents

  • Improved Essays

    Nt1310 Unit 4 Case Study

    • 424 Words
    • 2 Pages

    Utilizing the information from the table above the mean, median and standard deviation will be calculated. The mean equals the average of the sample by adding all the values of the samples and then dividing by the total number of items. The mean for the samples collected is 14.87 ounces which rounded up 14.9 ounces.…

    • 424 Words
    • 2 Pages
    Improved Essays
  • Improved Essays

    Nt1310 Unit 3 Assignment 3

    • 1039 Words
    • 5 Pages

    Group I, Category 19 Incorrect RFC Decision ISSUE DDS proposed a denial determination. The evidence in file supports a more restrictive RFC, as a result, additional vocational documentation is required. CASE DISCUSSION & POLICY ANALYSIS (INCLUDING SPECIFIC REFERENCES) This 57-year old is filing a DIB claim alleging disability due to loss of right eye, COPD, high blood pressure, edema of both legs and feet, back surgery, weight gain, depression, and neuropathy, as of 10/22/2014.…

    • 1039 Words
    • 5 Pages
    Improved Essays
  • Decent Essays

    Typhanie Clemons Experience Claims Research/Customer Service Representative (Temporary) 03/2015-05/2017 MD Wise, Inc. (Damar Staffing) • Accurately submitted claims for reprocess in accordance with the claims processing system and other department guidelines • Investigated and resolved claim concerns • Reversed and reprocessed claims as necessary • Managed inbound calls to resolve payment issues and take payments over the phone • Responded to specialized claims inquiries from patients and providers • Properly handled and documented calls in timely fashion • Ensured that appropriate follow-up to claims inquiries/requests is complete and timely Rehabilitation Specialist 02/2012-06/2014…

    • 245 Words
    • 1 Pages
    Decent Essays
  • Great Essays

    The office did not apply for any additional funding (n.a.,…

    • 1439 Words
    • 6 Pages
    Great Essays
  • Great Essays

    Sales Tax Case Study

    • 1370 Words
    • 6 Pages

    As of December 31, 2011, what amount, if any, of sales taxes due should be recognized in eVade’s financial statements? 2. What effect, if any, does eVade’s decision to participate in the tax amnesty program have on the amount recognized as of March 31, 2012? 3. What amounts should be recognized in the financial statements for the $25 million payment on June 15, 2012?…

    • 1370 Words
    • 6 Pages
    Great Essays
  • Improved Essays

    PHASE II INVESTIGATION: The conclusion of QC lab investigation affirmed that the failed results reported for TG89 bottom mixer bowl and the bottom of the Vibrasonic clear were not due to Analyst error. Therefore, QA initiated a Phase II investigation to determine the circumstances that led to the failures. During the investigation QA reviewed the cleaning protocol, current cleanup instructions, interviewed SMEs. Below is a summary of the findings.…

    • 956 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    manpower hours. Please refer to the Incident Run Log for further details. Chief Farmer stated several member were contaminated by a solution inside the building of 780 Cottage Grove Road. Chief Farmer is working with another District Chief Bill Riley and the Fire Marshall Bill Lewis to find out if the gear should be terminated.…

    • 657 Words
    • 3 Pages
    Improved Essays
  • Improved Essays

    COMPLAINT On June 2, 2016, the Office of the Bar Counsel received a complaint from Lynette Fast Horse regarding Attorney Paul T. Shane. The complainant, a former employee, believes that Shane has failed to appropriately handle immigration matters. Fast Horse alleges that Murray is in violation of Mass.R.Prof. C. 1.1, 1.2, 1.3, and 8.4(c).…

    • 2269 Words
    • 10 Pages
    Improved Essays
  • Improved Essays

    CMS 1500 is a paper claim form that is a used by healthcare providers in order to submit claims and invoices to insurance carriers in order to receive payments for services provided to a patient. Before CMS -1500 was formed according to In 1975 the American Medical Association (AMA) approved a universal claim form called Health care financing Administration also known as HCFA-1500. During the transition of HCFA-1500 AMA joined forces with the Centers for Medicare and Medicaid Services (CMS) to form a Uniform Claim Task Force to promote and standardize the use of the universal health claim form, which was later replaced by the National Uniform Claim Committee (NUCC). In 2001 the HCFA-1500 become known as the CMS 1500 when Health Care financing…

    • 961 Words
    • 4 Pages
    Improved Essays
  • Decent Essays

    Bryan, I went back and viewed the appeal. I see why the one claim was manual processed. The issue for appeal# APP-2514178 was centered around OHI denying incorrectly. It was fortunate, a claim denying for COB was for H2022. It was the only one denying for this reason.…

    • 76 Words
    • 1 Pages
    Decent Essays
  • Great Essays

    Govc Self Assessment

    • 3668 Words
    • 15 Pages

    I have enclosed three fitness evaluation report enclosure (1) is for the period prior to my GOVCC misuse, demonstrating good judgment, trustworthiness and reliability. Enclosure (2) is the adverse fitness report for the period I received a 6105, also acknowledging my negative behavior, and accepting the consequences of my behavior. Enclosure (3) is for the period after my treatment, and recovery, showing renewed good judgment, trustworthiness and reliability. During this period 2015 I was awarded a Certificate of Commendation signed by Brigadier General Michael A. Minihan USAF, Colonel Christopher J. PaPaj USMC, and Graisri, Gesorn Rear Admiral, Royal Thai Navy, for my efforts during OPERATION SAHAYOOGI HAAT enclosure (4). It has been one…

    • 3668 Words
    • 15 Pages
    Great Essays
  • Decent Essays

    Case Study: Hi Slobodan

    • 83 Words
    • 1 Pages

    Hi Slobodan, The Lockheed Martin Buyer and Herndon product are starting to become a little alarmed, because we haven’t provide and updated in sometime. How are we doing? The last time we left off the spot-welder electrode surface was dome reducing the welding efficiency. The Action item was to order a new an electrode that would give you a better spot-weld nugget. Can you please provide some sort of response, before close of business today (COB), so can update the team.…

    • 83 Words
    • 1 Pages
    Decent Essays
  • Great Essays

    Fda Case Study

    • 1215 Words
    • 5 Pages

    1.1 Background The mission of the FDA Office of Financial Management (OFM), Division of Financial System Support (DFSS) is to coordinate the management of FDA’s financial system of record Unified Financial Management System (UFMS) with Health and Human Services (HHS) and the other HHS Operating Divisions (OpDivs) who currently use UFMS. UFMS is the HHS department wide financial system of record. The HHS Financial Enterprise System Management (FESM) organization is responsible for managing the global UFMS. DFSS ensures that the functionalities within UFMS meets FDA’s business needs and processes, any changes proposed by other OpDivs or HHS are communicated to our end users and that it does not break our internal financial business processes.…

    • 1215 Words
    • 5 Pages
    Great Essays
  • Decent Essays

    Animal Rights Did you know that some animals on earth are being more and more abused because of animal cruelty? Around 900-2000 animals are abused every year. In 2007 1880 animals were being abused. 64.5% (1212) Involved dogs.…

    • 444 Words
    • 2 Pages
    Decent Essays
  • Improved Essays

    PSY 370 Spring 2016, Homework Assignment #1 Jazmine Romero ID# 008107786 March 7, 2015 Case study: Jennifer Jennifer is a young woman who seems to be dealing with a severe case of depression and anxiety. Jennifer’s background hasn't always been a stable foundation, family, and relationship wise, it has affected her well into her adulthood. She tends to overgeneralize about specific events in her life, which have led her to self-defeating conclusions. When overviewing the four specific models against Jennifer’s depression, Biological, Behavioral, Cognitive, and Sociocultural models, you notice a pattern of inheritance between Jennifer and her mother as well as a correlation with her family dynamic.…

    • 865 Words
    • 4 Pages
    Improved Essays