Course Overview
Lesson 1 Claim Essentials:
- Fraud and abuse, submitting claims, charging patients, and denials
Lesson 2 837P — Electronic Claim:
- Electronic Data Interchange (EDI) enrollment, the NPI application, software, implementation and companion guides
Lesson 3 Form CMS-1500 — Paper Claim:
- Exceptions, waivers, high volume of paper claims, and Form CMS-1500 details
Lesson 4 Claim Completion:
- Health care professional, patient, and payer information required when submitting claims
Lesson 5 Claim Coding:
- Coding the CMS-1500 field locators and the 837P electronic loops
Lesson 6 Claim Processing:
- Important Medicare claims processing actions
Test