Claims Processing: The Cycle of a Claim {1 CE}
Who said billing is as easy as pressing a button? Whoever it was, certainly did not bill insurance claims for a living. “Pressing the button” is the first-step in the cycle of claims processing. This presentation will walk you through the cycle of an insurance claim to ensure successful coding & billing the first-time. You will learn common mistakes and how to avoid them, the importance of your electronic claims data, and how to better understand the behind the scenes steps of your claims processing.
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Claims Processing: Understand your EOB’s {1 CE}
Reading an EOB (Explanation of Benefits), via electronic remit or paper EOB, can sometimes feel like interpreting a foreign language. Let’s be honest, the insurance company does not care if you get paid – ensuring claims payment is your responsibility. It’s imperative that you understand how to read your EOB’s in order to determine if your claims are processing correctly, you are being paid correctly for the CPT codes you billed, and how to follow up in the case of a denial. You will learn how read and understand an EOB, common processing errors, common denials and how to effectively follow-up.
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