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.
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
PAE: Patient Financial Communication
In this course we will address the Patient Financial Communications Best Practices through concepts of financial counseling. We'll review patient financial care concepts, which include negotiating account resolution, identifying and initiating financial assistance processes (charity), pursuing time-of-service collections and achieving account resolution.