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Medicare is a is a federal program to help people who are above 65 years of AGE.

Medicaid is a state GOVERNMENT program to help people who are POOR.

Medicare is a is a federal program to help people who are above 65 years of age.

Medicaid is a state government program to help people who are poor.

Date of SUBMISSION., date of service, subscriber number, PROVIDER number, AMOUNT, UNITS.

Date of submission., date of service, subscriber number, provider number, amount, units.

FACETS has many MODULES such as Providers, subscribers/members, Medical, BILLING, NetworX ETC

Facets has many modules such as Providers, subscribers/members, Medical, Billing, NetworX etc

Facets is a healthcare tool which is USED to process medical and hospital or facility claims. This is owned by cognizant and INDIAN based COMPANY which is listed in NASDAQ. 80% of its employees are Indians.

Facets is a healthcare tool which is used to process medical and hospital or facility claims. This is owned by cognizant and Indian based company which is listed in NASDAQ. 80% of its employees are Indians.

When the CLAIM is not PAYING as EXPECTED we PEND it for further REVIEW.

When the claim is not paying as expected we pend it for further review.

CLAIM is pended by PRESSING F5 BUTTON.

Claim is pended by pressing F5 button.

CLAIM is SAVED by PRESSING F4 BUTTON.

Claim is saved by pressing F4 button.

CLAIM can be ADJUDICATED by PRESSING F3 BUTTON.

Claim can be adjudicated by pressing F3 button.

Main errors in facets are ‘provider RECORD not found’, ‘PROCEDURE code INVALID’, ‘Service definition ERROR’ etc.

Main errors in facets are ‘provider record not found’, ‘Procedure code invalid’, ‘Service definition error’ etc.

REVENUE code is used in only hospital CLAIMS. Hospital claims are priced by revenue CODES. Where as MEDICAL claims priced by PROCEDURE code.

Revenue code is used in only hospital claims. Hospital claims are priced by revenue codes. Where as medical claims priced by procedure code.

Basic fields in facets claims SCREEN are PROVIDER id, Subscriber id, date of service, diagnosis CODE, procedure code, REVENUE code, unit PRICE, no of units.

Basic fields in facets claims screen are Provider id, Subscriber id, date of service, diagnosis code, procedure code, revenue code, unit price, no of units.

MEDICAL claims are also called professional claims and these are the claims SUBMITTED by individual PROVIDERS or clinics. Hospital claims are also called as facility claims and these are submitted by HOSPITALS.

Medical claims are also called professional claims and these are the claims submitted by individual providers or clinics. Hospital claims are also called as facility claims and these are submitted by hospitals.