Cost:

Free for HFMA Members
Buy HFMA Membership to Attend

Audience:

Hospitals and Other Providers
Physicians and Other Practitioners

Career level:

Experienced Professional
Early Careerist

Recommended for:

Patient Accounts
Revenue Cycle
Claims
Admissions
Healthcare Revenue Integrity
Managed Care
Reimbursement

Delivery Method:

Self Study

Advance Preparation:

None

Prerequisites:

None

Course Availability:

18 Months

Course | Basic | Payment, Reimbursement, and Managed Care
This course explains how to complete FL 1-41 of the UB-04 billing form. This course covers the use of this form for all payers, including Medicare, Medicaid, and commercial payers. The course describes each form locator and provides detaile...
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Fact Sheet | Payment, Reimbursement, and Managed Care
CMS released a proposed rule that would revise certain aspects of the Comprehensive Care for Joint Replacement model, including the episode of care definition, the target price calculation, the reconciliation process, the beneficiary notice...
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News | Payment, Reimbursement, and Managed Care
A complete listing of healthcare finance-related hearings, conferences, webinars, public forums and deadlines for the week of Feb. 10.
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Tools & Tips | Payment, Reimbursement, and Managed Care
This presentation provides a high-level overview of key changes in the CY 2020 OPPS/ASC final rule, published by CMS.
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Fact Sheet | Payment, Reimbursement, and Managed Care
CMS released the calendar year 2020 final rule describing the changes to the amounts and factors used to determine the payment rates for Medicare services paid under the hospital OPPS and ASC payment system on November 1, 2019.
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Course | Basic | Payment, Reimbursement, and Managed Care

The UB-04 Billing Form: Form Locators 42 through 81

Course | Basic | Payment, Reimbursement, and Managed Care

The UB-04 Billing Form: Form Locators 42 through 81

Description

This course explains how to complete FL 42-81 of the UB-04 billing form. The codes needed to fill in these data areas are described. The course covers the use of this form for all payers, including Medicare, Medicaid, and commercial payers.

Estimated course completion time: 1 hour and 30 minutes

We also offer the UB-04 Billing Form: Form Locators 1 through 41 here.
After this program, you'll be able to..
  • Identify revenue codes and their descriptions
  • Define the Healthcare Common Procedure Coding System (HCPCS)
  • Recognize modifiers and their uses Identify non-covered charges
  • Recognize line item date of service requirements 
  • Identify the Health Insurance Plan ID
  • Identify the assignment of benefits indicators
  • Recognize the National Provider Identifier (NPI)
  • Recognize relationship codes
  • Recognize the Insured's Unique Identifier
  • Identify where to find additional information
  • Identify the Medicare records/health information management responsibilities
  • Recognize the principal diagnosis assignment
  • Define E Codes
  • Identify the procedure code requirements
  • Recognize the PPS/DRG assignment
  • Define Present on Admission Indicators (POA)

Related Courses | Payment, Reimbursement, and Managed Care

Course | Basic | Payment, Reimbursement, and Managed Care

The UB-04 Billing Form: Form Locators 1 through 41

This course explains how to complete FL 1-41 of the UB-04 billing form. This course covers the use of this form for all payers, including Medicare, Medicaid, and commercial payers. The course describes each form locator and provides detailed information about the codes needed to fill in these data areas.


Estimated course completion time: 1 hour and 30 minutes

We also offer The UB-04 Billing Form: Form Locators 42 through 81 here.

Course | Intermediate | Denials Management

Exception-Based Processing - Non-Paid Claims

This course addresses follow-up procedures for unresolved health plan and liability payer, also known as third-party payers, accounts and common account resolution procedures and activities specific to lien issues.

On Demand Webinar | Update | Legal and Regulatory Compliance

An Overview of the Office of Inspector General's Work Plan

The current HHS Office of Inspector General (OIG) Work Plan Includes a mix of historical areas of focus and new issues that the OIG will target in the coming year. Effective June 2017, the OIG updates its Work Plan website monthly, adding new initiated items and removing completed items. Provider organizations need to be aware of the OIG's priorities and understand what drives scrutiny in these key areas.

During this webinar, the presenters provide an overview of the Work Plan and key areas of focus for provider organizations, while summarizing key provisions within the plan.

Original Live Webinar Date: 1/16/20

Course | Basic | Patient Access

Importance of Insurance Verification

In this course we highlight the various types of health insurance that your patients may present at registration. We'll review the fundamentals of Medicare, Medicaid, and third-party liability plans. You'll learn how verifying a patient's insurance eligibility and benefits affect the coordination of benefits process, which determines the primary payer and secondary payer on a claim.


Estimated course completion data: 30 minutes