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: 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.
Denials Mgt: Exception-Based Processing - Denied Claims
This course addresses the different types of health plan rejections and typical reasons for claim rejections. It will review typical billing errors and how to avoid them. It covers the reasons for health plan denials and how to address and avoid them. This course also addresses appeals and the appeals process including the Medicare fee-for-service appeals levels.
Denials Mgt: 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.