'Claim adjudication' presentation slideshows

Operations

Operations. Nanjing Operations. HR & Admin. Corp. Service. China Organization Structure. Executive Office. IT Dept. Audit/ Quality. Compliance. Process Team 1. Process Team 2. Outsourcing Unit. Support. Support. Team 1. Team 3. Claims Processing. Claims Processing. Team 2.

483 views • 28 slides

Payments (RAs), Appeals, and Secondary Claims

13. Payments (RAs), Appeals, and Secondary Claims. 13-2. Learning Outcomes. When you finish this chapter, you will be able to: 13.1 Explain the claim adjudication process. 13.2 Describe the procedures for following up on claims after they are sent to payers.

529 views • 28 slides

CHAPTER 13

Payments (RAs), Appeals, and Secondary Claims. CHAPTER 13. See the ten-step Revenue Cycle figure (at the beginning of the chapter). This chapter focuses on the following steps : Preregister patients Establish financial responsibility Check in patients Review coding compliance

262 views • 26 slides

Payments (RAs/EOBs), Appeals, and Secondary Claims

14. Payments (RAs/EOBs), Appeals, and Secondary Claims. 14-2. Learning Outcomes. When you finish this chapter, you will be able to: 14.1 Describe the steps payers follow to adjudicate claims. 14.2 Describe the procedures for following up on claims after they are sent to payers.

416 views • 24 slides

137 views • 13 slides