Reading EOBs, Working Denials, and Filing Appeals (006)

Medical Billing Courses


Description

One of the most important functions of a medical billing professional is to learn how to read Explanation of Benefits (EOBs) and work the claims denial process (when an insurance claim has been submitted to the medical insurance company and the claim has been rejected and not paid or not paid appropriately. Every commercial insurance company has their own process as there are no standards in this industry. Filing appeals generally have a time limit for submitting requests and usually must include documentation to support the request for payment. These processes probably take more time in the "life of a medical biller" than any other functions they perform. *** Please be sure to view or print the Sample EOB listed first in the course contents**

Content
  • Sample EOB
  • Unit 1 Reading Remittances and EOBs
  • Unit Remittance Advices Quiz
  • Unit 2 Data Entry of Remittance Notices and Explanation of Benefits
  • Unit 2 Data Entry of Remittance Notices and Explanation of Benefits Quiz
  • Unit 3 Denied and Rejected Claims
  • Unit 3 Denied and Rejected Insurance Claims Quiz
  • Unit 4 Common Reasons for Denials and Rejections
  • Unit 4 Common Reasons for Denials and Rejections Quiz
  • Unit 5 Adjustment Requests for Medical Insurance Claims
  • Unit 5 Adjustment Requests for Medical Insurance Claims Assignment #1
  • Unit 5 Adjustment Requests for Medical Insurance Claims Assignment #2
  • Unit 5 Adjustment Requests for Medical Insurance Claims Quiz
  • Unit 6 The Appeals Process
  • Unit 6 The Appeals Process Assignment #1
  • Unit 6 The Appeals Process Assignment #2
  • Unit 6 The Appeals Process Quiz
  • Reading EOBs, Working Denials, and Filing Appeals Final
Completion rules
  • All units must be completed
  • Leads to a certification with a duration: Forever