#48 ARCALLERDENIALSpart2 #DENIALMANAGEMENT #VBILLINGS #ARcallertraining #vbilling #medicalbilling
AR CALLER 48 SCENARIOS PART 1: https://youtu.be/O9U_WtJLT3A
10 Claim rejected for CPT Inconsistent with a modifier or Billed CPT is not legitimate for the modifier or vice versa: 00: 00: 27
11 Claim Denied for CPT Inconsistent with Place of service or Billed CPT is not legitimate for the billed Place of service or vice versa: 00: 01: 50
12 Claim rejected for CPT Inconsistent with Diagnosis or Billed CPT is not legitimate for the Diagnosis or vice versa: 00: 03: 14
13 Claim Denied for Non covered service according to Patients Benefit Plan: 00: 04: 47
14 Claim Denied for Non covered service based on Provider Contract: 00: 06: 34
15 Claim Denied for Maximum Benefit Exhausted: 00: 08: 15
16 Claim Denied for Bundled. Speculative. Not individually reimbursable: 00: 10: 20
17 Claim Denied for CPT consisted of with surgical treatment code or Globally Inclusive: 00: 12: 08
18 Claim Denied for Patient is Not Eligible for the Date Of Service: 00: 13: 37
19 Claim rejected for Patient remains in HOSPICE: 00: 15: 08
For AR CALLER BOOK & doubts WhatsApp or call: 9080556859
For ar caller E-book:
The wait is over, after numerous battles, workplace works, and individual concerns, I invested much time on this, yes our ebook for AR CALLER MEDICAL BILLING has actually been finished. I have actually released it on amazon kindle for rs350 You can read it totally free if you have a kindle account if not you need to buy it for rs 350.00, however for our customers, I can send it thru WhatsApp for simply rs 200 so any person desires it simply pay Rs.20000 thru google pay, phone pay or pay by UPI ID. When 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
Our TravelFar channel link: https://www.youtube.com/channel/UCNRuQ7N6Rhc056 Q5Hykt0yA
Please subscribe and support TravelFar youtube channel Thanks ahead of time ❤
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:
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 went beyond (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 fulfilled:
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 went beyond:
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|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 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 requirement:
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.
No comments:
Post a Comment