Home Reimbursement

Reimbursement

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May 3, 2020

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Reimbursement overview 10 Topics

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How reimbursement works

Medicare vs. Medicaid

Medicare overview

Medicare billing guidelines

Medicare reimbursement

Medicaid overview

Medicaid billing guidelines

Medicaid reimbursement

Private payer overview

Private payer reimbursement

Coding overview 6 Topics

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Coding overview

Monitoring coding

Care management coding

Substance abuse coding

Consent for services

Billing guidelines 4 Topics

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Billing overview

Claims overview

Originating site

Documentation requirements

Denials 5 Topics

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Denial overview

Accurate information

Proper documentation

Claims 5 Topics

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Claim preparation

Transmitting claims

Claims adjudication

Patient statements

Medicare payments 5 Topics

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Medicare payment rules

Physician fee schedule rules

Inpatient PPS rule

Outpatient/ASC PPS rule

Medicare Advantage & Part D rules

Common codes 4 Topics

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HCPCS Level II Codes

Place Of Service code

GT/GQ modifiers

Clearinghouses 3 Topics

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How clearinghouses work

Exploring clearinghouses

Submitting directly

Medicaid payments 3 Topics

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Medicaid reimbursement overview

SPA’s & telemedicine

Medicaid vs. Medicare reimbursement

Credit card payments 7 Topics

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Cash payments overview

Cash payment benefits

Review state regulations

Review payer requirements

Evaluate telehealth services

Credit card payment options

References (Reimbursement)

Reimbursement Quiz

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