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Free E&M coding grids, developed by PMI for accurate selection of E&M level of service codes.
- We will help you evaluate your current billing procedure and protocols for all carriers including the federal plans.
- Test your knowledge of documentation guidelines and managed care plans.
- Valuable tips on avoiding rejected claims, duplicate or lost charges.
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Course Agenda:
- Understanding the evolving role of insurance plans
- Ensuring chart documentation supports claims submitted
- Working with Medicare as a secondary payer
- How to appeal inadequate reimbursements
- Patient education and grievance issues
- Procedure for capturing lost charges
- Insurance verification and preauthorization
- Billing for pre-existing conditions
- Obtaining initial referrals
- Pre-certification and authorizations for continued treatment
- Checklist of necessary patient information
- Coordination of benefits including covered/non-covered services
- Handling general liability claims
- Address common claims processing errors
- Medicare's Correct Coding Policy as it pertains to billing
- Avoiding duplicate charge rejects
- How to handle refunds for overpayments
- Proper use of the Advance Beneficiary Notice
- Improve understanding of audit triggers
- Know your rights and responsibilities during an audit
Classroom Presentation:
This class will teach participants how to file claims with confidence. Learn proper use of claim forms, chart documentation and how to conduct an audit and evaluation. Receive tips for evaluating your current insurance processing policies and procedures to determine if an overhaul is needed.
Who Should Attend:
Billing and coding staff and those involved in claims processing for the medical office will benefit from this course. Participants will receive guidance in all areas of insurance processing for complete and accurate reimbursement.
Course Materials:
A course manual will be provided to each participant that includes guidance on the entire reimbursement process.
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Schedule as of 7/3/2009
REGISTER/FEE: To view class registration fee and/or register, first click the "Fee" button next to the city of your choice, then click "Submit" at the bottom of the list.
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Reference