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Unit 6: Insurance and Claims Processing

Prepare for Unit 6: Insurance and Claims Processing with practice questions covering 9 topics. Part of CBCS — Certified Billing and Coding Specialist (NHA) — build your knowledge and track your progress with AH Prep.

Topics: 9
Access: Premium

What’s in it.

9 topics

Topic 01
Insurance Types — Commercial, Medicare, Medicaid, Tricare, Workers' Comp
Coming soon
Topic 02
Medicare Parts A, B, C, and D — Coverage and Billing Rules
Coming soon
Topic 03
Medicaid — Federal/State Structure and Eligibility
Coming soon
Topic 04
The CMS-1500 Claim Form — Fields, Completion, and Common Errors
Coming soon
Topic 05
The UB-04 Claim Form — Institutional Billing Basics
Coming soon
Topic 06
Electronic Data Interchange (EDI) — 837P, 835, and 277 Transactions
Coming soon
Topic 07
Remittance Advice and ERA Interpretation
Coming soon
Topic 08
Denials Management — Reason Codes, Appeals, and Resubmission
Coming soon
Topic 09
Coordination of Benefits (COB) — Primary/Secondary Payers and Cross-Over Claims
Coming soon

Unit 6: Insurance and Claims Processing

Insurance Types — Commercial, Medicare, Medicaid, Tricare, Workers' Comp

Medicare Parts A, B, C, and D — Coverage and Billing Rules

Medicaid — Federal/State Structure and Eligibility

The CMS-1500 Claim Form — Fields, Completion, and Common Errors

The UB-04 Claim Form — Institutional Billing Basics

Electronic Data Interchange (EDI) — 837P, 835, and 277 Transactions

Remittance Advice and ERA Interpretation

Denials Management — Reason Codes, Appeals, and Resubmission

Coordination of Benefits (COB) — Primary/Secondary Payers and Cross-Over Claims