PAE: Key Performance Indicators in Revenue Cycle
This course will address Key Performance Indicators (KPIs) and benchmarking in accounts receivables. It will review the various techniques used to measure accounts receivables.
PAE: 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.
PAE: Self-Pay Follow Up
In this course we will address patient balance billing after insurance; contract issues and limitations; and required processing differences between bad debt and financial assistance care (such as charity). Appropriate notations are included within the course to direct you to the specific requirements of Section 501(r) of the Internal Revenue Code course related to financial assistance policies, applications and other requirements for non-profit hospitals in the handling of potential and eligible financial assistance patients. This course also includes an overview of Medicare bad debt rules and their financial impact.
PAE: Pre-Registration and Insurance Verification
In this course we will address the pre-registration purpose and process, information collected during pre-registration, and consequences that an organization may experience due to inaccurate or incorrect patient information. It will also provide an overview of the Medicare Secondary Payer screening process.