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Health Science
Claims, Appeals, and Compliance
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1 Section
26 Lessons
30 hours
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Unit 3 — Claims, Appeals, and Compliance
26
1.1
Payment or Denial: Being in the Hands of the Payer
20 mins
1.2
The Art of the Appeal: Understanding the Basics before You Begin
20 mins
1.3
Moving beyond ICD-10
20 mins
1.4
Knowing What’s What: Verifying the Patient’s Plan and Coverage
20 mins
1.5
Deciding What Gets Paid
20 mins
1.6
Getting the Most Bang for Your Client’s Buck — Honestly
20 mins
1.7
Billing More than Is Documented
20 mins
1.8
CDI: Clinical Documentation Improvement
20 mins
1.9
Get Vital Patient Info at Check-In
20 mins
1.10
Deciding Which Job Is Right for You
20 mins
1.11
Heeding a Word of Advice for New Coders
20 mins
1.12
Getting the Most out of the Dreaded Audit
20 mins
1.13
Scrubbing In: Proving Medical Necessity for Surgical Procedures
20 mins
1.14
Examining the Exams: A Quick Review of the Main Tests
20 mins
1.15
Picking a Program of Study
20 mins
1.16
Signing Up for and Taking the Big Test
20 mins
1.17
Tracking Your Claim from Submission to Payment
20 mins
1.18
Checking and Double-Checking Your Documentation
20 mins
1.19
Breaking Down the Remittance Advice
20 mins
1.20
Going through an Appeal, Step by Step
20 mins
1.21
Working with Medicare Contractors
20 mins
1.22
Unbundling Incorrectly
20 mins
1.23
CMS: Centers for Medicare & Medicaid Services
20 mins
1.24
Review the Documentation ASAP
20 mins
1.25
Prepping for Your Career: Training Programs and Certifications
20 mins
1.26
Connecting with the World of Evaluation and Management Codes
20 mins
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