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Course catalog / Healthcare edition / Understanding the Elements of Payments

Understanding the Elements of Payments

This course identifies the components of participating and nonparticipating provider payment documents.

Find out more
  • Define non-participating and participating providers and when higher out-of-pocket amounts may occur.
  • List terms which may be used on participating provider payment documents, such as Total Charges (Billed Amount), Contracted Charges (Allowed Amount), and Contractual Adjustment (Discount).
  • Distinguish between various terms which refer to contract charges, such as Allowed Amount, Covered Amount, Charge Allowed, Allowable, Contract Allowable, Plan Allowed, Eligible Charges.≥
  • Distinguish between various terms which refer to noncovered charges, such as Not Allowed, Ineligible, Excluded Charges, Pending, Not Payable, Service Not Covered, Rejection.’
  • Distinguish between various terms which refer to contractual adjustment.
  • Distinguish between various terms which refer to copay/deductible/coinsurance
  • Distinguish between various terms which refer to payment.
  • Assess payment accuracy.
Course length
45 minutes
Collection
Revenue Cycle
Language
English
Country/Region
US

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