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

Payer Follow-Up Part Two

This course identifies common rejections and suggestions for follow-up.

Find out more
  • Identify examples of when follow-up occurs: unpaid balances, no activity, partial payment, and patient balances.
  • Decide what activity to do when the payer states it did not receive the claim
  • List which payers are usually billed electronically.
  • Analyze an account when a partial payment is received and determine follow-up steps, such as rebill the payer, bill the Patient, or adjust off the unpaid balance.
  • Analyze the account and determine how to follow-up, including review of third party payer’s billing rules or regulations, question if the service provided is covered, assess the HCPCS/CPT and ICD-9-CM coding, evaluate the information on the UB, and communicate with various departments to resolve the issue.
  • List reasons for a patient balance.
  • List that denials and rejections may mean different things to various payers and select the differences between a contracted payer vs a non-contracted payer.
Course length
60 minutes
Collection
Revenue Cycle
Language
English
Country/Region
US

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