Claims Follow-Up, Appeals, & Self-Pay Collections

Welcome to the Claims Follow-Up, Appeals, & Self-Pay Collections course, part of the Protecting Your Revenue During Turbulent Times online series for continuing education units.

About the Instructor:

Dorothy Steed, CCS, CDIP, CPC-H, CPCO, CPUM, CPUR, CPHM, CPMA, ACS-OP, CCS-P, RCC, RMC, CEMC, CPC-I, CFPC, PCS, FCS, CPAR has over 38 years of experience in both hospital and physician billing, coding, reimbursement, and claims management, though she specializes in Medicare requirements. She is credentialed in medical coding, compliance, utilization management, utilization review, medical auditing, clinical documentation improvement, and patient accounts. Ms. Steed holds specialty credentials in Evaluation & Management, medical auditing, and radiology coding, and she has provided training workshops in all of these areas.

Note that you will have a few multiple-choice review questions at the end of each chapter. These will not be graded and are purely for practice.

Introduction

  • Course overview
  • About the instructor
  • Course introduction

Staff Requirements

  • Assessment and training
  • Productivity
  • Review

Billing Compliance

  • Timely filing
  • Using correct modifiers
  • Avoiding unspecified codes
  • Linkage, unbundling, and CCI
  • Review

Claims Follow-Up

  • Insurance follow-up
  • Request for additional information
  • Reduced payment
  • Rejection/denial
  • Review

Appeals

  • Working with appeals
  • Building expertise in problem claims
  • Review

Collections

  • High deductibles
  • Discussing money with patients
  • Collections
  • Review

Audits

  • Receiving notice of audit
  • Remember…
  • Review

Final Exam: 25 Questions

  • Estimated length: 6 Hours
  • Worth: 6 CEUs
  • Pre-Approval:This course meets AAPC guidelines for 6 CEU credits

 

Click to view the entire continuing education course listing through MMI.

If you have any questions regarding this CEU course, please contact MMI at any time.

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