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Handout for Chapter 6: Practice Chart Review for Compliance
Please download and read this resource.
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coding
hcc
practice
review
Handout for Chapter 5: What Do HCC Coders Do At Work
Please download and read this resource.
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coders
coding
hcc
hcc coders
Handout for Chapter 4: Using a Mapping Tool
Please click the resource and download the file.
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coding
hcc
mapping
mapping tool
tool
Risk Adjustment Models, HCC Coder Language and Tools - Handout
This handout will guide you through the essentials of risk adjustment in healthcare. In risk adjustment, we follow models that allow us to determine the guidelines in adjustment that we have to apply.
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hcc
hcc coding
language tools
models
risk adjustment
What Is Trumping in HCC Coding - Handout
This handout will guide you through the essential concept of trumping or trumpcoding within HCC coding. TRUMPING influences the final risk score that determines the funding the insurance will get from Medicare.
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hcc
hcc coding
risk adjustment
trumpcoding
Introduction to Risk Adjustment & HCC - Handout
Risk adjustment in Hierarchical Condition Category (HCC) coding is a method used to determine funding allocations to insurance plans based on the severity of enrollees' diseases and other factors such as demographics. HCC coding involves using ICD-10-CM codes to represent patients' health conditions, which are grouped into categories based on their complexity and costliness.
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hcc
hcc coding
risk
risk adjustment
Claim Status Suggested Script
This is a suggested script on how to handle calls when following up on a claim.
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Accounts Receivable
AR
claim
claim status
Claim Status Suggested Script
follow-up
script
status
Medical Billing: A Process
The file is about what medical billing is and a brief explanation of each step involved in the medical billing cycle.
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billing
charge
charge entry
charges
claim
claim submission
claims
coding
diagnosis
Eligibility
medical billing
payment posting
payments
process
revenue cycle
revenue cycle management
submission
verification
what is medical billing
Insurance Information / Insurance Form
This document is about the filling up of insurance information in QRS.
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demo
elig
Eligibility
ins elig
insurance
insurance elig
insurance eligibility
insurance form
insurance information
insurance registration
patient demo
patient demographics
registration
CMS1500 / HCFA Form
This is used for billing professional services.
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CMS1500
form
HCFA
professional billing
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