Claims management encompasses the entire spectrum of claims from preparing, coding, and submitting claims, to managing audits and re-submissions.
Consistent claims processes are cirtical to overall fiscal stability.
WHOAll agencies - this module focuses on Medicare payment at this time.
TO DOEnsure the claims management team includes clinical staff, coders, billers and fiscal review team members and that everyone understand their own work and how it impacts the overall system.
RISKPoor claims management can result in lengthy audits, penalties and investigations.
OASIS-C1, Coding , and the New Recalibrations: What This Can Mean for Your Agency (Webinar Archive)
ICD-10 Coding, Part 1: Overview and Planning (Webinar Archive)
ICD-10 Coding, Part 2: Drilling Down to the Details (Webinar Archive)
ICD-10 Coding, Part 3: Checklists for Success (Webinar Archive)
Outcome and Assessment Information Set (CMS)
The Complete ICD-10 Guide (Axxess)
|Other Resources (may involve a fee to access)