#ctsjobs #Cognizantjobs #arcallerworkfromhome
ping me in WhatsApp: 9080556859
Email: vijaisun11 @gmail. com
for ar caller E-book:
The wait is over, after lots of battles, workplace works, and individual problems, I invested much time on this, yes our ebook for AR CALLER MEDICAL BILLING has actually been finished. I have actually introduced it on amazon kindle for rs350 You can read it totally free if you have kindle account if not you need to buy it for rs 350.00, however for our customer, I can send out thru WhatsApp for simply rs 200 so anyone desires it simply pay Rs.20000 thru google pay, phone pay or pay by UPI ID. As soon as paid take a screenshot and send out that to my WhatsApp and I will send you the copy once I confirmed it.
Google pay, phone pay = 9080556859
UPI ID: = 9080556859 @kotak
Paytm: 9080556859 @paytm
Bank information: Kotak Mahindra
Call Vijayakumar Munusamy
Checking account # 5445416980
IFSC: KKBK0000471
MICR # 600485009
Branch Madippakkam
E BOOK TABULATION:
Future of medical billing occupations in India:
What is MEDICAL BILLING?
What is RCM
AR GROUP:
AR Expert (Day Shift):
AR Caller/ AR follow-up (Graveyard shift):
Calling group:
1) Medical Professional Calling:
2) Insurance Coverage Calling
3) Client Calling:
3 P remains in medical billing
1. Who is the Client (Insurer/subscriber/dependent/ policy holder)?
2. Who is the Company (Medical professionals, doctors, cosmetic surgeons, specialists, health centers, centers, labs)?
3. Who is Payer (Insurance provider)?
DEMONSTRATION entry (Client’s Group)?
Encounter procedure?
Transcription procedure?
Medical Coding procedure?
Charge sheets/Super Expenses:
Charge Entry procedure?
Medical diagnosis code (illness/sickness)?
Medical diagnosis code volume I:
Medical diagnosis guideline (Box # 24 E)?
CPT CODE:
Classification of CPT codes:
Classification I CPT CODE:
6 Areas of Classification I CPT code:
LEVELS OF CPT CODES:
Modifiers:
Claim filing approaches:
Scrubber report:
Paper claim submission:
1. HCFA/CMS 1500
2. UB04/ CMS1450
Terms
Location of Service Codes (POS):
Kind Of Service Codes (TOS ):
In-Network Provider/Contracted Service Provider:
Pre-existing condition:
Capitation:
Advance Recipient Notification (ABN):
Release of Details (ROI):
Coordination of Advantages (COB):
Refund:
Recoupment/Take-back (OFFSET):
Category of Insurances:
A.Medicare Insurance Coverage:
Medicare Changeover?
B.Medicaid Insurance coverage: Poor individuals
Medicaid Invest down charges:
C.CHAMPUS:
DEERS:
D.CHAMPVA:
2. Commercial Insurance Coverage:
3. Employees Settlement insurance coverage:
Workplace of Employees Payment Programs (OWCP)?
4. Liability Insurance Coverage:
No-Fault Clause/State:
Kinds of Strategies:
Rejections/ AR Circumstances
Claim rejected for missing/invalid PERMISSION:( BLOCK 23)
Claim rejected for missing/invalid RECOMMENDATION:( BLOCK 23)
Claim rejected for BUNDLE/INCLUSIVE/EXCLUSIVE:
Claim rejected for Timely Filing Limitation surpassed (TFL):
Claim rejected for Main paid more than the secondary enabled quantity:
Claim rejected for Main EOB:
Claim rejected for Clinically not Required:
Claim rejected for Co-ordination of advantages (COB) upgrade:
Claim rejected for Pre-existing condition:
Claim rejected for Non covered service:
Claim rejected for Client policy terminated/Patient protection ended:
Claim rejected for Global:
Claim rejected for Optimum advantages satisfied:
Claim rejected for Duplicate:
Claim rejected for Service provider runs out Network:
Claim rejected for Dx code is irregular with CPT code:
Claim rejected for Modifier is irregular with CPT code:
Claim rejected for Frequency or Systems surpassed:
Non-Denials/ AR Situations
Claim Processed towards Offset:
Claim Processed towards Capitation:
Claim not on file:
Claim is still in procedure:
Claim Paid:
Claim processed towards Deductible:
MOCK CALLS
MOCK-NON-COVERED SERVICE:
MOCK-AUTHORIZATION REJECTION
MOCK-Diagnosis CODE( dx) IS IRREGULAR WITH TREATMENT CODE( cpt):
MOCK-Co-ordination of advantages upgrade needed/additional details asked for from client:
MOCK-Patient policy ended|Expenditures sustained after protection ended:
MOCK-DUPLICATE:
MOCK-INCLUSIVE|WORLDWIDE|BUNDLED:
MOCK-PRE-EXISTING CONDITION:
MOCK-Claim PAID:
Terms in Alphabetic order:
NOTES FORMAT:
Claim is SET TO PAY:
Claim Paid:
Claim rejected for NO PERMISSION:
Claim rejected for Co-ordination of advantages update/Additional info asked for from client:
Claim rejected for MISSING/ABSENT RECOMMENDATION:
Claim rejected for Client policy ended:
Claim rejected for DUPLICATE:
Claim rejected for INCLUSIVE|WORLDWIDE|BUNDLED REJECTION:
Claim rejected for PRE-EXISTING CONDITION:
Claim rejected for CPT code is irregular Medical diagnosis code:
Claim rejected for Optimum advantages have actually been fulfilled:
Claim processed as Main Paid more than Secondary Allowed:
Claim rejected for NON COVERED SERVICE:
Claim rejected for Clinically not a requirement:
Claim rejected for PROMPT FILING LIMITATION (TFL) ENDED:
Claim processed towards OFFSET:
Claim rejected for Void location of service (POS):
Essential Interview concerns:
Inform me about yourself:
#MEDICALLYNOTNECESSITY
#MEDICALBILLINGTRAINING
#VBILLINGS
#Medicalbillingjob training
#Medicalbillingandcodertraining
#Medicalcodertraining.
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