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Health Science
Advanced Claims Resolution and Compliance
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26 Lessons
30 hours
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Unit 4 — Advanced Claims Resolution and Compliance
26
1.1
Caveat Emptor: Watching Out for Diploma Mills
20 mins
1.2
Fighting for Proper Payment: Filing an Appeal with the Payer
20 mins
1.3
Appealing Medicare Processing
20 mins
1.4
Doing Business with Medicare Part C Plans
20 mins
1.5
Ignoring an Error
20 mins
1.6
EHR: Electronic Health Record
20 mins
1.7
Set Up a System to Ensure Accuracy
20 mins
1.8
Planning for the Future
20 mins
1.9
Appealing a Workers’ Comp Claim
20 mins
1.10
Verifying Coverage and Plan Requirements
20 mins
1.11
Mishandling an Overpayment
20 mins
1.12
EOB: Explanation of Benefits
20 mins
1.13
Play Nice with Others
20 mins
1.14
Failing to Protect Patients from Out-of-Network Penalties
20 mins
1.15
HIPAA: Health Insurance Portability and Accountability Act
20 mins
1.16
Follow Up on Accounts Receivable Daily
20 mins
1.17
Failing to Verify Prior Authorization
20 mins
1.18
INN: In-Network
20 mins
1.19
Be a Bulldog on the Phone
20 mins
1.20
Breaking Patient Confidentiality
20 mins
1.21
NCCI: National Correct Coding Initiative
20 mins
1.22
Know Your Payer Contracts by Heart
20 mins
1.23
Following the Lead of an Unscrupulous Manager
20 mins
1.24
OON: Out-of-Network
20 mins
1.25
Create a File System That Lets You Find What You Need
20 mins
1.26
Make Payers Show You the Money!
20 mins
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