FOR NYANYA (ONLY)

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Hello Nyanya! This class is HLTH245 - Principals of Reimbursement Management. Week 3 - CMS-1500 Assignment requested by July 17th.

 

Week 3 Introduction: Practice makes perfect. This week you have the opportunity to practice system one of the most common forms in medical billing, the CMS 1500 form for submission to a variety of insurance payers. You will learn the revenue implication of submitting a "clean" claim and the impact on your current or future employer . Week 3 Objectives: Compare and contrast medical insurance payers and Complete CMS-1500 form.

 

Required Resource:

ISBN: 978-0-07-351371-3

Valerius, J., Bayes, N., Newby, C., Blowchowiak, A. (2012). Medical Insurance, an Integrated Claims Process Approach. (6th Ed.), New York, NY: McGraw-Hill Publishers.

  • Chapter 7
  • Chapter 8
  • Chapter 9
  • Chapter 10
  • Chapter 11
  • Chapter 12

ISBN: 978-0-7637-5964-3

Valerius, J., Bayes, N., Newby, C., Blowchowiak, A. (2012). Medical Insurance Workbook. New York, NY: McGraw-Hill Publishers.

Weblinks:

Written Assignment - CMS-1500

Lead in:

The CMS-1500 is a paper claim for physician services that is accepted by most payers. Reimbursement professionals working in physician practices need to develop proficiency in completing the CMS-1500. This will give you an opportunity to practice this skill which will make you an asset to any future employer.

 

To prepare for this assignment:

With this in mind,

Using the Interactive CMS-1500 Form, complete the following:

  • Five (5) BC/BS
  • Five (5) Medicare
  • Five (5) Medicaid
  • Two (2) Tricare
  • Two (2) Workman’s Comp

Use ideas from the class text and your own experiences to create "make believe" scenarios and complete the claims bulleted above. Be sure to provide a very brief scenario with each claim (i.e. patient broke arm and had surgery); a different scenario should be used for each claim. Data can be input and saved as a .pdf in the link provided.

Submit to the Written Assignments section of the Learning Hub by Day 7.

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      bc_bs_1.pdf
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      tricare_1.pdf
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      workers_comp_1.pdf
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