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: 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.
PAE: 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.
In this course we will address scheduling processes, including
- Patient identification
- Requested service
- Medical necessity screening
- Medicare Advance Beneficiary Notice of Noncoverage processing
- Patient instructions
- Scheduler instructions
- Order Requirements