In brief explain about coding compliance

In brief explain about clinical documentation improvement

Describe the CMS 1500 Form

Explain each section of the CMS 1500 Form

Describe the UB 04 Form

Understand the term National Provider Identifier

Describe assignment of benefits

Describe accept assignments

Processing CMS 1500 claims

Describe the commercial insurance plan characteristics

Describe primary commercial vs secondary commercial claims

Describe blue cross

Describe blue shield

Explain the difference between blue cross and blue shield

Understand the completion of a CMS 1500 billing form for blue cross and blue shield claims

Understand the Medicare eligibility guidelines

Describe the enrollment process for Medicare

Understand the various parts of Medicare such as Medicare Part A, Medicare Part B, Medicare Part C, Medicare Part D

Understand the Medicare reimbursements for participating vs non-participating providers  

Understand as to when Medicare would be considered as a primary or secondary insurance

Understand the completion of a CMS 1500 billing form for Medicare claims

Understand the Medicaid eligibility guidelines

Understand the completion of a CMS 1500 billing form for Medicaid claims

Describe TRICARE and CHAMPVA

Explain the options of TRICARE

Understand the completion of a CMS 1500 billing form for TRICARE claims

Describe works compensation and how is differs at federal and state level

Understand the eligibility requirements for workers compensation

Understand the concept of first report of injury and progress report in worker compensation claims