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Completing the 1500 Health Insurance Claim Form
This course explains the purpose of the 1500 Health Insurance Claim Form and describes how the form should be completed. Estimated course completion time: 2 hours and 30 minutes.
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Advance Directives and Bedside Registration
This course describes the types of advance directives and explains the role of the registrar in identifying the existence of advance directives and processing such directives when they exist. It describes the specific challenges involved in registering patients at the bedside and discusses express or mini registrations, as well as “Jane/John Doe” registrations. This course…
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Completing the UB-04 Billing Form: Locators 42-81
Learn how to complete FL 42-81 of the UB-04 billing form as it applies to all payers, including Medicare, Medicaid and commercial payers. Learners will become familiar with each form locator and understand detailed information about the codes needed to fill in these data areas. Estimated course completion time: 1 hour and 30 minutes. We…
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Completing the UB-04 Billing Form: Locators 1-41
Learn how to complete FL 1-41 of the UB-04 billing form as it applies to all payers, including Medicare, Medicaid and commercial payers. Learners will become familiar with each form locator and understand detailed information about the codes needed to fill in these data areas. Estimated course completion time: 1 hour and 30 minutes. We…
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Internal Controls for Cash Posting and Electronic Funds Transfers
In this course we review internal controls for cash handling and posting, electronic funds transfer (EFT) and electronic remittance advices. Estimated course completion time: 30 minutes.
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How Price Transparency Improves Patient Satisfaction
This course shares how to prepare a price estimate, the role of price estimates in patient financial care, the principles of price transparency, and how pricing information is used to prepare and present price estimates. Estimated course completion time: 1 hour.
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Essentials of Medicare and Medicaid Managed Care
This course provides a brief history and overview of Medicare and Medicaid. It describes government organizations that regulate and administer this program. This course also discusses Medicare reimbursement. In addition, it highlights recent changes in the law affecting Medicare managed care contracting. This course also identifies the rights and responsibilities of Medicare enrollees. It also…
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Health Information Management (HIM) and Coding
In this course, we will address: the role and responsibilities of Health Information Management in the revenue cycle; diagnosis and procedure codes used to communicate the reason for and type of clinical service provided to the patient; how other departments and stakeholders utilize diagnosis and procedure coding as it pertains to the revenue cycle. Estimated…
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An Introduction to Contract Management
Learn the basics of managed care contracting, including criteria-based contracting and how to monitor contract compliance.Estimated course completion time: 1 hour and 30 minutes
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Health Plans: An Overview
In this course we will address the basic billing rules for major health plans, including an overview of basic billing features and benefits, types of billing rules, and minor claim payers and plans. Estimated course completion time: 30 minutes.