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Course catalog / Healthcare edition / Payer Follow-Up Part One

Payer Follow-Up Part One

This course identifies the reasonable time frame for payment and the tools available for accurate and timely follow-up on outstanding account balances.

Find out more
  • Define the term follow-up and when payment maybe expected.
  • Specify who is responsible for an unpaid balance.
  • Categorize reasons why follow-up is needed.
  • Cite the three R’s of follow-up: review, research, and react.
  • List the steps on the roadmap to follow-up what’s the patient type and service code, dates of service, insurance or payer codes, account notes, and charge and payment transactions.
  • Name several resources to assist with follow-up from the hospital, the payer, and the Patient.
  • Specify the payment documents that assist with follow-up.
  • Distinguish between the HIPAA data standards ANSI 835 and 837.
  • Select various follow-up techniques: online claims tracking, sending status bills, ATBs, telephone, and fax.
  • Differentiate between non-paid claims, rejections, pends, and partial payments.
  • Identify methods that credit balances may be followed up.
Course length
45 minutes
Collection
Revenue Cycle
Language
English
Country/Region
US

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