Part 1- The remittance advice is a key document that reimbursement specialists use daily on the job. This document, whether in an electronic or paper form, provides essential information that helps us to effectively perform the job duty of applying insurance reimbursement to patient financial accounts.
Illustrate your knowledge of the components and use of the electronic remittance advice.
Include the following aspects in the discussion:
Indicate at least three elements that are contained on the electronic remittance advice.
Share how this document would be useful for you to properly apply payments to a patient’s account.
Discuss other reasons why remittance advice can be used in performing common reimbursement-related job duties.
Part 2-
Dissecting the CMS 1500 Claim Form
There are many important details that are entered on a CMS 1500 claim form for a patient’s services that were rendered by a provider. Information added to the claim form is electronically captured within the practice management system and electronic health record that is used by the medical office. Medical coders and reimbursement specialists are gatekeepers for ensuring that information that will ultimately be billed to the patient’s insurance is accurate and timely.
Investigate components of a CMS 1500 claim form and how it is used for billing purposes.
Include the following aspects in the discussion:
Explain at least three blocks of the CMS 1500 claim form and the information each block should contain.
Identify the differences between clean and dirty claims.
Discuss at least one ramification that could result if a claim is not error-free.
