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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
28
cards
Chapter 6
Hcpcs level 11 conceptshealthcare...,
Hcpcs level 11 updates website qu...,
A codes g codesb codes h codesc c...
129
cards
Chapter 7
Medical necessity is defined diff...,
The ama american medical associat...,
Ncdmedicare releases national cov...
120
cards
Chapter 8 Claim Forms
Claim forms,
Two claim forms,
Cms 1500
279
cards
Radiology Billing - Synergy
Fiu,
When calling payer health plan fo...,
Ppo
54
cards
Chapter 9
Yo puedo yo puedo yo puedo,
The data entry process is critica...,
Reduce payment delay
75
cards
Chapter 10
Introductionthe denial and appeal...,
Explanation of benefits eob and r...,
Era electronic remittance advice
70
cards
CMS1500 Synergy
Line 2,
Line 2,
Line 3
48
cards
Chapter 11
Government carriers,
Medicare,
Medicare has four parts part a ho...
134
cards
Chapter 12 Blue Cross Blue Shield
Blue cross blue shield,
The bcbs federal employee program...,
Common types of insurance plans
39
cards
Chapter 13 Commercial Insurance Carriers
In this chapter commercial insura...,
Common denials rejections,
A rejected claim is a claim not c...
47
cards
Chapter 14 Workers' Compensation
Workers compensation,
Workers compensation,
Purpose and scope
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
Page 9,
Working a denialclaims are denied...,
Claim adjustment reason codes carcs
30
cards
Chapter 3- Denials National Correct Initiative NCCI
Ncci cci,
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,
Global package non medicare healt...,
Surgery as defined by medicare
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,
Appeals,
Use these tips when appealing a d...
11
cards
Denials Chapter 7 Documentation & Med Records
Documentation and the medical record,
Medical record entries,
Medical record retention requirem...
10
cards
Denials Chp 8 Incident-to-Guidelines & Shared Visits
Incident to guidelines and shared...,
Split shared services,
Split shared services vs incident...
14
cards
Denials Chapter 9 Evaluation & Management
Evaluation and management denials,
Question we have been using cpt c...,
Question a patient of ours was ho...
9
cards
Denials Ch 10 - Modifiers
Modifiers,
Modifier 22,
Modifier 24
22
cards
Denials Chp 11 - Coding
Icd 10 cm coding,
Medical necessity,
Overview of icd 10 cm layout
25
cards
Practice Exam 1
Car accident,
Managed care who allows patients ...,
Caqh
48
cards
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CPB Certified Professional Biller
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