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Litmos Education - Revenue Cycle 301
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Revenue 301: Mastering Skills

Each of the courses listed below are sold individually; $15 for NAHAM members and $35 for non-members. Click on the course title to purchase the course.

 

BF80104 - Patient Intake and the UB-04 Claim Form V6

This course introduces the relationship of the data captured and entered into a patient's account at the time of patient intake to the production of a clean UB-04 claim form.

 

Course Objectives

After completing this course, you will understand:

* Identify the four sections of the UB.
* Recognize how information obtained during patient intake is used in the creation of a UB.
* Recognize the financial impact of incorrect payer assignment.


Contact Hours: 0.75
Length of Course: 45 minutes 


BF80109 - Introduction to Denial Management V6

This course introduces the denial management process, including common types of denials, methods of monitoring and tracking denials, and the impact denials have on the financial success of the hospital.

 

Course Objectives

After completing this course, the learner should be able to:
* Understand the denial management process.
* Understand common types of denials.
* Understand how to monitor and track denials.
* Understand the impact denials have.


Contact Hours: 0.25
Length of Course: 20 minutes 


BF80901 - Understanding Patient Balances V6

This course identifies the components of a patient balance.

 

Course Objectives
After completing this course, you will understand:

* Define the terms self-pay, patient balance, and out-of-pocket.

* Define copay and cite methods of determining a copay amount.

* Define deductible.

* Define coinsurance.

* Identify location and provider specific deductibles and coinsurance examples.

* Recognize noncovered services.

* Identify account information used to determine a patient balance.

and more....


Contact Hours: 0.75
Length of Course: 45 minutes 


BF80902 - The Collection Flow V6

This course identifies the components of a collection policy and the Collection Flow.

 

Course Objectives
After completing this course, you will understand:

* Define a collection touch.

* Recognize current issues and trends related to collecting healthcare bills.

* Differentiate current and past due patient balances.

* Cite up-front collection touch opportunities.

* Cite back-end collection touch opportunities.

* Identify collection policy presentation methods.

and more.....

Contact Hours: 0.75
Length of Course: 45 minutes 


BF80903 - Payment Options and Solutions V6

This course identifies payment solutions that can be a component of the hospital's collection policy.

 

Course Objectives
After completing this course, you will understand:

* Define the payment solutions: payment in full, payment arrangement, and financial options.

* Distinguish the characteristics of internal and external payment arrangement programs.

* Cite the components of a payment arrangement.

* Identify alternative payers that may be considered a financial option.

* Define financial assistance.

Contact Hours: 0.50
Length of Course: 35 minutes 


BF80904 - 4 Steps of Requesting Payments from Patients V6

This course identifies the Collection Communication Cycle.

Course Objectives
After completing this course, you will understand:

* Cite communication style characteristics.

* Recognize your role in collecting a patient balance.

* Name the components of the Collection Communication Cycle: review, ask, listen, and close.

* Apply the Collection Communication Cycle: review, ask, listen, and close.

* Apply appropriate communication style characteristics.

Contact Hours: 0.75
Length of Course: 50 minutes 


BF80905 - Managing Patient Balances V6

This course identifies how patient balances are managed and collected.

Course Objectives
After completing this course, you will understand:

* Define the Collection Correspondence Cycle.

* Cite collection communication options.

* Identify methods used to mange back-end collection touches.

* Distinguish the four types of collection tools: aged trial balances, online work list, automated telephone system, and other computer reports.

* Define a delinquent balance.

* Recognize pre-collection and early out programs.

* Recognize Medicare bad debt criteria.

Contact Hours: 0.75
Length of Course: 45 minutes 


BF80906 - Why Collecting Patient Balances Matters V6

This course identifies what can happen when the Patient/Guarantor balances are not collected as soon as possible.

Course Objectives
After completing this course, you will understand:

*Recognize the impact of completing the Collection Flow, the Collection Communication Cycle, and the Collection Correspondence Cycle has on cash flow.

Contact Hours: 0.25
Length of Course: 10 minutes 


BF81001 - Identifying UB Data Elements and Form Locators V6

This course identifies the UB data elements provided through system input or calculation.

Course Objectives
After completing this course, you will understand:

* Identify and select specific reference material from the NUBC Official UB manual.

* Match specific form locator numbers to the locator name.

* Cite the source and/or methodology for completing form locators 1, 2, 5, 45 (Line 23), 52, 53, and 66.

* Distinguish possible remedies for incorrect or missing form locator data.

Contact Hours: 0.50
Length of Course: 25 minutes 


BF81002 - Identifying UB Elements at Patient Intake V6

This course identifies the UB data elements provided through system input or calculation.

Course Objectives
After completing this course, you will understand:

* Identify and select specific reference material from the NUBC Official UB manual.

* Match specific form locator numbers to the locator name.

* Cite the source and/or methodology for completing form locators 1, 2, 5, 45 (Line 23), 52, 53, and 66.

* Distinguish possible remedies for incorrect or missing form locator data.

Contact Hours: 0.50
Length of Course: 25 minutes 


BF81003 - What a Patient's UB Data Elements Tell You V6

This course identifies the UB data elements that tell the story of the Patient’s visit.

Course Objectives
After completing this course, you will understand:

* Identify and select specific reference material from the UB manual.

* Match specific form locator numbers to the locator name.

* Cite the source and/or methodology for completing form locators 4, 18-28, 31-41 a-b, 35-36 a-b, 39-41 a-c, 67, 67 A-Q, 69, 70 a-c, 71, 72 a-c, 74, 74 a-e, 77, 78-79, and 81 a-d.

* Distinguish possible remedies to incorrect or missing form locator data.

Contact Hours: 2.00
Length of Course: 120 minutes 


BF81004 - The Relationship of UB Data Elements and Charges V6

This course identifies the charge related UB data elements and discusses the charge description master (CDM). 

Course Objectives
After completing this course, you will understand:

* Distinguish possible remedies to incorrect or missing form locator data.

Contact Hours: 1.25
Length of Course: 75 minutes 


BF81005 - Patients/Payer - Specific UB Elements V6

This course identifies the UB data elements that are unique by Patient and/or payer type.

Course Objectives
After completing this course, you will understand:

* Identify and select specific reference material from the UB manual.

* Match specific form locator numbers to the locator name.

* Cite the source and/or methodology for completing Value Codes 82 and 83 in FL 39-41 a-d, form locators 63 A-C, 64 A-C and 80.

* Distinguish possible remedies to incorrect or missing form locator data.

Contact Hours: 0.75
Length of Course: 40 minutes 


BF81304 - Understanding the Elements of Payments V6

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

Course Objectives

After completing this course, you will understand:

* 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.

Contact Hours: 0.75
Length of Course: 45 minutes 


BF81305 - Following Up on a Medicare Payment V6

This course introduces Medicare follow-up processes.

Course Objectives

After completing this course, you will understand:

* List courses offered on the CMS website.

* Identify the CMS system, FISS and information available within it.

* Differentiate between an FI and a Carrier.

* Determine when a clean claim will be paid if it is sent electronically or paper.

* List the filing limit.

* Determine if a claim got into the CMS system, FISS, and analyze activity on the account and common suggestions or follow-up, including: working RTP, 72-hour rule, MSP issues, when the Beneficiary information is incorrect, overlapping dates of service, and self-administered drugs.

* Select the appropriate Type of Bill, FL 4, when sending a cancelled claim and an adjustment

* Define an OCE and a CCI edit. * Determine if a modifier should be added and when.

Contact Hours: 0.50
Length of Course: 30 minutes 


BF81306 - The Appeals Process on Medicare Denials V6

This course identifies how to appeal a Medicare denial.

Course Objectives

After completing this course, you will understand:

* List the difference between a Medicare rejection and a Medicare denial.

* List reasons why claims are denied.

* Identify the Medicare appeal process and its time limitations.

* Determine the follow-up process to apply when a test exceeds frequency, a diagnosis is not payable, or documentation does not support the charges.

Contact Hours: 0.25
Length of Course: 20 minutes 


BF81307 - Reading the Medicare Remittance Advice V6

This course introduces the Medicare voucher and how to read it.

Course Objectives

After completing this course, you will understand:

* List the types of information contained on a Medicare remittance advice.

* Differentiate between the various headings.

* Specify the frequency that the voucher is sent.

* Determine how to follow-up on a noncovered line item account in FISS once it is listed on the remittance advice.

Contact Hours: 0.25
Length of Course: 20 minutes 


BF81309 - General Follow-Up on Blue Cross V6

This course introduces the Blue Cross system and overall follow-up processes.

Course Objectives

After completing this course, you will understand:

* Define the Blue Cross association and its website.

* Differentiate a Blue Cross Plan Code versus a Group Number and where the information is placed on the UB.

* Define the terms Local Business, NASCO, Out of Area, and Federal Employee Program.

* Recognize supplemental coverage to Medicare.

* Define the Blue Care program and ITS.

Contact Hours: 0.50
Length of Course: 30 minutes 


BF81313 - Following Up with Commercial and Other Payers V6

This course introduces commercial health insurance, auto insurance and Workers' Compensation follow-up processes.

Course Objectives

After completing this course, you will understand:

* List common reasons for commercial follow-up.

* Analyze the account and determine how to follow-up, including review of third party payer'’s billing rules or regulations, and question if the service provided is covered.

* Decide what activity to do when the payer states it did not receive the claim.

* Distinguish follow-up challenges and methods related to auto insurance and Workers' Compensation claims.

* Select appropriate scripting for follow-up when talking with the payer.

* Select appropriate Condition Codes, FL 18-28, when rebilling.

Contact Hours: 1.00
Length of Course: 60 minutes 


BF81502 - Anatomy of a 1500 Claim V6

This course identifies item numbers 1 to 33b on the 1500 health insurance claim form.

Course Objectives

After completing this course, you will understand:

* Identify and select specific reference material from the NUCC manual.

* Match specific item numbers to the item names.

* Cite the source and/or methodology for completing all item numbers.

* Distinguish possible remedies to incorrect or missing item number data.

Contact Hours: 0
Length of Course: 60 minutes 


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