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Certified & Approved
by the New Jersey
Dept. of Education,
and the
Dept.
of
Labor and
Workforce
Development
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 Universal Billing (UB04) Hospital Billing and Office Procedures
Students will receive basic skills for an entry-level position in Hospital Billing (UB04), and Hospital Office Procedures with the understanding that will allow students to grow and move in to positions of increasing responsibility.
Summary • Details • Schedule • Related
Course Summary
Course Details:
The Critical Importance of the Billing Process: Providers; Payers; The Billing Function; Compliance; Challenges and Changes for the Health Care Industry. Back to top
The Uniform Bill and Other Billing Forms: The origin of the Uniform Bill; The UB04 Manual; UB04; CMS-1500; Dental and Pharmacy Insurance Forms; Overview of the UB; reading outpatient and inpatient bills. Back to top
Introduction and Guide using the UB04 Manual: Introduction to the UB04 Manual; Guide to using the UB04 manual; Index of Manual Pages by Form Locator Number and Data Element Description; Form Locator Information; Print Specifications; Form Locators 1 – 86. Back to top
Hospital Outpatient/Inpatient Billing and Other Facilities Using UB04:Students are exposed to skill exercises on Hospital Outpatient/Inpatient Billing and Services; Home Health Agency and Nursing Home Billing; Hospice and Ambulance Claims. Back to top
The Billing Team and Medicare: Benefits and Coverage; Billing Office Issues; Health Insurance Query Access; Denials; Outpatient Reimbursement Issues, Conditional Payments; No-Pay Uniform Bills; Medicare Billing Rules; Contractual Adjustments, Medicare Voucher/Remittance Advice, and Secondary Payer Processes; Fiscal Intermediary Information. Back to top
The Billing Team and Non-Medicare Payers: Social Issues and Health; Premiums, Co-Pays, and Deductibles; Cost-Containment Policies; Billing Manuals; Insurance Verification; Billing and Remittance Advice; Coordination of Benefits; Managed Care; TRICARE; Workers’ Compensation; Blue Cross/Blue Shield Plans; State Medicaid Plans; Commercial Payers and the Follow-Up Process.Back to top
Key Departments in the Revenue Cycle: Introduction and Interaction of Key Departments in the Revenue Cycle; Patient Access Department; Computer Issues; Case Management/Utilization Review; Health Information Management; Patient Accounts Department. Back to top
The UB-04: Development; Additions and Deletions to UB-04; Modifications from UB04 to the UB-04; Comparison of UB04 and UB-04 Forms. Back to top
Course Schedule:
Day Class - Monday through Friday from 8:00 a.m. to 2:00 p.m. - 1 week
Back to top
Related Courses:
To register call Advantage Career Institute at (732) 222-6550.
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