Cost:

Free for HFMA Members
Buy HFMA Membership to Attend

Audience:

Hospitals and Other Providers
Physicians and Other Practitioners

Career level:

Student
Early Careerist

Recommended for:

Revenue Cycle
Claims
Billing
Reimbursement

Advance Preparation:

None

Prerequisites:

None

Course Availability:

18 Months

Course | Basic | Billing and Collections
At the end of this course, you will be able to recognize billing requirements utilized by healthcare providers and health plans.<div><br></div><div>Estimated course completion time: 1 hour</div>
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News | Billing and Collections
A compromise solution for surprise medical bills is nearing and could include costs for both providers and health plans.
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Course | Basic | Billing and Collections
In this course we review internal controls for cash handling and posting, electronic funds transfer and electronic remittance advices.<div><br></div><div>Estimated course completion time: 30 minutes</div>
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On Demand Webinar | Update | Billing and Collections
A look at the latest healthcare regulatory and legislative issues moving through Congress, Health and Human Services (HSS) and the Center for Medicare &amp; Medicaid Services (CMS).
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Course | Intermediate | Billing and Collections
This course covers a set of four compliance risk areas identified by the Office of Inspector General (OIG) that healthcare providers need to be aware of before they submit healthcare claims to federal agencies for approval. The course also ...
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Course | Basic | Billing and Collections

The 1500 Health Insurance Claim Form

Course | Basic | Billing and Collections

The 1500 Health Insurance Claim Form

Description

This course explains the purpose of the 08/05 revised version of the 1500 Health Insurance Claim Form and describes how the form should be completed.

Estimated course completion time: 2 hours and 30 minutes
After this program, you'll be able to..
  • Identify the purpose of the 1500 billing form
  • Recognize the history of the 1500 billing form
  • Define assignment of benefits
  • Identify the relationship of assignment of benefits to the insured's signature
  • Complete the first 13 items of the form
  • Recognize how patient conditions are described on the 1500 Health Insurance Claim Form
  • Complete items 14-22 of the 1500 Health Insurance Claim Form
  • Define the National Provider Identifier (NPI)
  • Identify the role of ICD-9-CM codes
  • Identify and define Place of Service codes
  • Define he HCPCS coding system

Related Courses | Billing and Collections

Course | Basic | Billing and Collections

Basic Billing Rules and Payment Methodologies

At the end of this course, you will be able to recognize billing requirements utilized by healthcare providers and health plans.


Estimated course completion time: 1 hour

Course | Overview | Health Plan Payment and Reimbursement

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.


Estimated course completion time: 30 minutes

Course | Intermediate | Denials Management

Strategies to Prevent Claims Denials

This course defines claims denial management and explains the impact of claims denials on hospitals. It highlights the benefits to hospitals of managing claims denials effectively and describes how claims denials can be managed both before and after denials take place. The course describes types of denials and discusses key strategies for preventing and correcting some common causes of denials.


Estimated course completion time: 1 hour

Course | Intermediate | Denials Management

Successfully Appealing Denials

This course explains how improving management of the claims denial process can have a positive effect on a hospital's bottom line. It presents best practices that will help to capture a significantly higher proportion of claims and increase collections, including steps and strategies for successful appeals.


Estimated course completion time: 3 hours