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PDFs

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
Medicaid: A Closer Look
This is a file about Medicaid insurance. There are some information about Medicare as well.
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Benefits
Medicaid
Medicare
Patient Responsibility
Premiums, Cost Sharing, Deductible, Coinsurance, Copay, Maximum Out-of-Pocket
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billing
medical billing
Paradigm EHR / QRS Navigation Instructions
Detailed description of navigation and basic parts of the QRS.
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medical billing
QRS
Img 4981
Jessica Orleans
 Jan 22, 2025 09:27am
Writing Better Emails with ChatGPT
Guidelines on writing better emails with ChatGPT
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communications
Radiographic Images
X-rays are DIAGNOSTIC PROCEDURES that allow dentists to evaluate the oral health of the patient. Different oral health evaluation goals would be in correspondence to a different type of dental x-ray. Also, there are many other kinds of x-rays, but we only covered the most common ones in our lesson.
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bitewing
full mouth xray
panoramic
periapical
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