Payer Follow-Up Part One 1.0
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This course identifies the reasonable time frame for payment and the tools available for accurate and timely follow-up on outstanding account balances.

 

After completing this course, you will understand:
* Define the term follow-up and when payment maybe expected.* Specify who is responsible for an unpaid balance.
* Categorize reasons why follow-up is needed.
* Cite the three R’s of follow-up: review, research, and react.
* List the steps on the roadmap to follow-up what’s the patient type and service code, dates of service, insurance or payer codes, account notes, and charge and payment transactions.
* Name several resources to assist with follow-up from the hospital, the payer, and the Patient.
* Specify the payment documents that assist with follow-up.
* Distinguish between the HIPAA data standards ANSI 835 and 837.
* Select various follow-up techniques: online claims tracking, sending status bills, ATBs, telephone, and fax.
* Differentiate between non-paid claims, rejections, pends, and partial payments.
* Identify methods that credit balances may be followed up.

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