- CHAMPUS
- Eligibility
| - Electronic Claims
- Positive vs negatives, government regulations
- Purpose
|
- HIPAA
- Electronic Claims
- Information Security
- Patient Privacy
| - Managed Care
- Capitation
- Non-covered Services
- PPO vs HMO
- Pre-authorization
- Pre-authorization & Pre-certification
- Referrals
|
- Medicaid
- Basic Services
- Eligibility
- Managed Care
- Out of State
| - Medical Billing
- CPT Coding
- HCFA Forms
- ICD-9CM
- Purpose
|
- Medical Billing Basic Knowledge
- CPT-4 Coding
- HCPCS Codes
- ICD-9-CM
| - Medical Billing Documents
- CMS Form 1500
- Insurance Contract
- UB-92
- Understanding the EOB
|
- Medical Billing Process
- Accounts Receivables Recovery
- Claim Denials
- Copays, Co-Insurance & Deductibles
- Managed Care, PPO, POS, IPA, & Capitation
- Verification of Benefits
| - Medical Terminology
- ICD-9CM
- Insurance Terms
- Prefixes
- Roots
- Specialists
- Suffixes
|
- Medicare
- 3-Coding Level
- As Secondary Payor
- Eligibility
- Managed Care
- Medigap
- Part A
- Part B
- UPIN#
| - Specialty Billing
- ERISA Benefit Requirements
- ERISA Eligibility
- Workers' Comp Awareness
- Workers' Comp Processing
|
- TRICARE
- Eligibility
- Fiscal Intermediary
- Plans
| - Workman's Comp
- Definition
- FECA Program
|
|
