Life Cycle of a Health Insurance Claim introduces the student to all of the steps involved in processing of an insurance claim. The new CMS-1500 claim form (rev-02-12) for professional claims and its requirements are covered. The student will learn various requirements needed to complete the new CMS-1500 form and how they affect payments. Included in this course are NPI numbers, modifier placement, and secondary insurance information. Also covered is medical terminology relating to the submission and payment of insurance claims. The student is walked through the entire process of an health insurance claim from the gathering of information for the claim to insuring full payment from all parties involved for the service. Also covered are the tracking of the claims process and the rules of various insurance carriers for timely filing of insurance claims.
Just read Pricing Your Medical Billing Service – Great job loved it! This book is a great help for both the established medical billing service, and those just getting into the business. We can really relate to your experiences with patient billing copay misunderstandings, and some of the stories and antidotes really hit home! For example, when we started out – being to cheap and attracting cheap providers and not having the confidence to charge our worth. Also the story on patient billing and charging on CoPays – we lost a client over this issue also. We’ve had a few submissions to the website asking for advice on pricing, so we look forward to adding to our book page. Again great job! Contributing makes me feel like I’m being useful to the planet.
