For AR CALLER TRAINING & doubts WhatsApp or call: 9080556859
For ar caller E-book:
The wait is over, after numerous 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 a kindle account if not you need to acquire it for rs 350.00, however for our customers, 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
Amazon link: https://www.amazon.in/dp/B0918 QK59 B/ref =-LRB- cm_sw_r_apan_glt_D5X74 D4TAQF8MAV4AZDJ
E BOOK TABLE OF CONTENTS:
Future of medical billing occupations in India:
What is MEDICAL BILLING?
What is RCM
AR TEAM:
AR Analyst (Day Shift):
AR Caller/ AR follow-up (Night Shift):
Calling group:
1. Who is the Patient (Insurer/subscriber/dependent/ policy holder)?
2. Who is the Provider (Doctors, doctors, cosmetic surgeons, professionals, healthcare facilities, centers, labs)?
3. Who is Payer (Insurance business)?
Demonstration entry (Patient’s Demographic)?
Encounter procedure?
Transcription procedure?
Medical Coding procedure?
Charge sheets/Super Bills:
Charge Entry procedure?
Medical diagnosis code (illness/sickness)?
Medical diagnosis code volume I:
Medical diagnosis tip (Box # 24 E)?
CPT CODE:
Classification of CPT codes:
Classification I CPT CODE:
6 Sections of Category I CPT code:
LEVELS OF CPT CODES:
Modifiers:
Claim filing techniques:
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 Provider:
Pre-existing condition:
Capitation:
Advance Beneficiary Notice (ABN):
Release of Information (ROI):
B.Medicaid Insurance: Poor individuals
Medicaid Spend down charges:
C.CHAMPUS:
DEERS:
D.CHAMPVA:
2. Commercial Insurance:
3. Employees Compensation insurance coverage:
Workplace of Workers Compensation Programs (OWCP)?
4. Liability Insurance:
No-Fault Clause/State:
Kinds of Plans:
Rejections/ AR Scenarios
Claim rejected for missing/invalid AUTHORIZATION:( BLOCK 23)
Claim rejected for missing/invalid REFERRAL:( BLOCK 23)
Claim rejected for BUNDLE/INCLUSIVE/EXCLUSIVE:
Claim rejected for Timely Filing Limit surpassed (TFL):
Claim rejected for Primary paid more than the secondary enabled quantity:
Claim rejected for Primary EOB:
Claim rejected for Medically not Necessary:
Claim rejected for Co-ordination of advantages (COB) upgrade:
Claim rejected for Pre-existing condition:
Claim rejected for Non covered service:
Claim rejected for Patient policy terminated/Patient protection ended:
Claim rejected for Global:
Claim rejected for Maximum advantages satisfied:
Claim rejected for Duplicate:
Claim rejected for 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 Units surpassed:
Non-Denials/ AR Scenarios
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 DENIAL
MOCK-Diagnosis CODE( dx) IS INCONSISTENT WITH PROCEDURE 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|INTERNATIONAL|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 AUTHORIZATION:
Claim rejected for Co-ordination of advantages update/Additional details asked for from client:
Claim rejected for MISSING/ABSENT REFERRAL:
Claim rejected for Patient policy ended:
Claim rejected for DUPLICATE:
Claim rejected for INCLUSIVE|INTERNATIONAL|BUNDLED DENIAL:
Claim rejected for PRE-EXISTING CONDITION:
Claim rejected for CPT code is irregular Diagnosis code:
Claim rejected for Maximum advantages have actually been satisfied:
Claim processed as Primary Paid more than Secondary Allowed:
Claim rejected for NON COVERED SERVICE:
Claim rejected for Medically not a need:
Claim rejected for TIMELY FILING LIMIT (TFL) EXPIRED:
Claim processed towards OFFSET:
Claim rejected for Invalid location of service (POS):
Crucial Interview concerns:
Inform me about yourself:
#MEDICALLYNOTNECESSITY
#MEDICALBILLINGTRAINING
#VBILLINGS
#Medicalbillingjob training
#Medicalbillingandcodertraining
#Medicalcodertraining.
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