#CLAIMPAIDSCENARIO #PAIDCLAIM
#MockcallConversation
#DenialManagement
#MedicalbillinginTAMIL
#MedicalbillingJobinTAMIL
#ARcallerinTAMIL
#Medicalbilling
#Medicalbillingcoder
#USmedical billingjob
#callcenterjob
#Revenuecyclemanagement in Tamil
#MockcallUSPayerrepandAR CALLER
Other 13 mock calls pls click the links:
1. PERMISSION MOCK CALL: https://youtu.be/D6S02bAiIls
2. Coordination of advantages MOCK CALL: https://youtu.be/ZU3NDtTtD4k
3. RECOMMENDATION MOCK CALL: https://youtu.be/nKY3LAITtvs
4. Policy described MOCK CALL: https://youtu.be/Ro4SwLYX3IM
5. REPLICATE DENIAL MOCK CALL: https://youtu.be/gyWe8t0aLZ0
6. INCLUSIVE|INTERNATIONAL|BUNDLED DENIAL MOCKCALL: https://youtu.be/1NH6XGOQHGQ
7. PRE-EXISTING CONDITION DENIAL MOCK CALL: https://youtu.be/BqOQ2as0qpU
8. PAID CLAIM MOCK CALL: https://youtu.be/oiaETXio0w4
9. NON-COVERED MOCK CALL: https://youtu.be/oRUFmsJhGtU
10 CAPITATION MOCK CALL: https://youtu.be/0UshftkMhUE
11 Medical diagnosis code is irregular with CPT code MOCK CALL: https://youtu.be/uWRNTf8Xbjo
12 Medical Records missing/Invalid rejection Mock_CALL: https://youtu.be/wdO9FB-Rc6g
13 OFFSET Mock Call: https://youtu.be/i23_ 6WTyoQQ
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 any person desires it simply pay Rs.200.00 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
Name Vijayakumar Munusamy
Bank account # 5445416980
IFSC: KKBK0000471
MICR # 600485009
Branch Madippakkam
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:
Charge sheets/Super Bills:
Charge Entry procedure?
Diagnosis code (illness/sickness)?
Diagnosis code volume I:
Diagnosis tip (Box # 24E)?
CPT CODE:
Category of CPT codes:
Category 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
Terminologies
Place of Service Codes (POS):
Refund:
Recoupment/Take-back (OFFSET):
Classification of Insurances:
A.Medicare Insurance:
Medicare Cross Over?
B.Medicaid Insurance: Poor individuals
M
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 permitted 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:
Terminologies 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 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):
Important Interview concerns:
Tell me about yourself:
Which is finest strategy HMO, PPO POS?
#HMO
#ppo
#epo
#ReferralNUMBER?
#Authorizationnumber?
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