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Dealing and Succeeding with Nitty-Gritty On-the-Job Details
Dealing and Succeeding with Nitty-Gritty On-the-Job Details
Curriculum
5 Sections
22 Lessons
10 Weeks
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Chapter 11: Processing a Run-of-the-Mill Claim: An Overview
10
1.1
Dreaming of the Perfect Billing Scenario
1.2
Quiz for Dreaming of the Perfect Billing Scenario
7 Questions
1.3
Delving into the Details: Contract Specifics
1.4
Quiz for Delving into the Details: Contract Specifics
7 Questions
1.5
Covering Your Bases: Referrals and Preauthorization
1.6
Quiz for Covering Your Bases: Referrals and Preauthorization
6 Questions
1.7
Tracking Your Claim from Submission to Payment
1.8
Quiz for Tracking Your Claim from Submission to Payment
6 Questions
1.9
Fighting for Proper Payment: Filing an Appeal with the Payer
1.10
Quiz for Fighting for Proper Payment: Filing an Appeal with the Payer
6 Questions
Chapter 12: Homing In on How to Prepare an Error-Free Claim
8
2.1
Assigning CPT Codes
2.2
Quiz for Assigning CPT Codes
6 Questions
2.3
Applying Modifiers Correctly
2.4
Quiz for Applying Modifiers Correctly
6 Questions
2.5
Looking for Money Left on the Table
2.6
Quiz for Looking for Money Left on the Table
6 Questions
2.7
Checking and Double-Checking Your Documentation
2.8
Quiz for Checking and Double-Checking Your Documentation
6 Questions
Chapter 13: From Clearinghouse to Accounts Receivable to Money in the Pocket
8
3.1
Spending Time in the Clearinghouse
3.2
Quiz for Spending Time in the Clearinghouse
5 Questions
3.3
Facing Factors Affecting Reimbursement Amounts
3.4
Quiz for Facing Factors Affecting Reimbursement Amounts
6 Questions
3.5
Payment or Denial: Being in the Hands of the Payer
3.6
Quiz for Payment or Denial: Being in the Hands of the Payer
6 Questions
3.7
Breaking Down the Remittance Advice
3.8
Quiz for Breaking Down the Remittance Advice
6 Questions
Chapter 14: Handling Disputes and Appeals
12
4.1
Dealing with Disputes Involving Contract and Non-Contracted Payers
4.2
Quiz for Dealing with Disputes Involving Contract and Non-Contracted Payers
6 Questions
4.3
Knowing When to File an Appeal: General Guidelines
4.4
Quiz for Knowing When to File an Appeal: General Guidelines
5 Questions
4.5
The Art of the Appeal: Understanding the Basics before You Begin
4.6
Quiz for The Art of the Appeal: Understanding the Basics before You Begin
5 Questions
4.7
Going through an Appeal, Step by Step
4.8
Quiz for Going through an Appeal, Step by Step
5 Questions
4.9
Appealing Medicare Processing
4.10
Quiz for Appealing Medicare Processing
7 Questions
4.11
Appealing a Workers’ Comp Claim
4.12
Quiz for Appealing a Workers’ Comp Claim
6 Questions
Chapter 15: Keeping Up with the Rest of the World
6
5.1
WHO’s on First: Providing Data to the World Health Organization
5.2
Quiz for WHO’s on First: Providing Data to the World Health Organization
7 Questions
5.3
Charting Your Course with ICD
5.4
Quiz for Charting Your Course with ICD
6 Questions
5.5
Moving beyond ICD-10
5.6
Quiz for Moving beyond ICD-10
5 Questions
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