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Hilda Thomas
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Decks in this class (25)
Chapter 5
CPT
130
cards
JANE & Terra Notes
Steps to qualifying new patients ...,
New hope currently accepting the ...,
Fnp process 3
28
cards
Chapter 6
Hcpcs level 11 concepts 1,
Hcpcs level 11 updates website qu...,
A codes g codes b codes h codes c...
129
cards
Chapter 7
Medical necessity is defined diff...,
The ama american medical associat...,
Ncd national coverage determinati...
120
cards
Chapter 8 Claim Forms
Claim forms s p s my own term it ...,
Two claim forms 2,
Cms 1500 3
279
cards
Radiology Billing - Synergy
Fiu facility insurance undecided 1,
When calling payer health plan fo...,
Ppo hmo 3
54
cards
Chapter 9
Yo puedo yo puedo yo puedo 1,
The data entry process is critica...,
Reduce payment delay 3
75
cards
Chapter 10
Introduction the denial and appea...,
Explanation of benefits eob and r...,
Era electronic remittance advice 3
70
cards
CMS1500 Synergy
1a the information from cms1500 a...,
Line 2 2,
Line 3 3
48
cards
Chapter 11
Government carriers 1,
Medicare 2,
Medicare has four parts 3
134
cards
Chapter 12 Blue Cross Blue Shield
Blue cross blue shield 1,
The bcbs federal employee program...,
Common types of insurance plans 3
39
cards
Chapter 13 Commercial Insurance Carriers
In this chapter commercial insura...,
Common denials rejections 2,
A rejected claim is a claim not c...
47
cards
Chapter 14 Workers' Compensation
Workers compensation 1,
Workers compensation 2,
Purpose and scope 3
45
cards
Chapter 1 Denials Management
When payers adjudicate evaluate a...,
Challenge low dollar high volume ...,
A common failure is the lack of e...
35
cards
Chapter 2 Denials
Once a claim is submitted to an i...,
Working a denial claims are denie...,
Claim adjustment reason codes car...
30
cards
Chapter 3- Denials National Correct Initiative NCCI
Ncci cci 1,
Cms implemented the ncci to promo...,
Ncci is used by professional code...
36
cards
Chapter 4- Denials The Global Surgical Package
Global package as defined by cpt 1,
Global package non medicare healt...,
Surgery as defined by medicare 3
17
cards
Chapter 5 - Denials Medical Policies
National coverage determinations ...,
Medicare contractors are required...,
The guidelines given are only app...
5
cards
Denials Chapter 6 Appeals
I dcs voy a seguir cpa 1,
Appeals 2,
Use these tips when appealing a d...
11
cards
Denials Chapter 7 Documentation & Med Records
Documentation and the medical rec...,
Medical record entries 2,
Medical record retention requirem...
10
cards
Denials Chp 8 Incident-to-Guidelines & Shared Visits
Incident to guidelines and shared...,
Split shared services 2,
Split shared services vs incident...
14
cards
Denials Chapter 9 Evaluation & Management
Evaluation and management denials 1,
Question we have been using cpt c...,
Question a patient of ours was ho...
9
cards
Denials Ch 10 - Modifiers
Modifiers 1,
Modifier 22 2,
Modifier 24 3
22
cards
Denials Chp 11 - Coding
Icd 10 cm coding 1,
Medical necessity 2,
Overview of icd 10 cm layout 3
25
cards
Practice Exam 1
Car accident 1,
Managed care who allows patients ...,
Caqh 3
48
cards
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CPB Certified Professional Biller
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