Healthcare EDI || EDI Transactions || HIPAA EDI Tutorials by eLearningLine @ 848-200-0448

Healthcare EDI Transactions set by HIPAA for the electronic submission of Healthcare Information. Healthcare EDI Training - Basics of EDI(Electronic Data Interchange) || EDI Tutorials }} EDI Videos Course is offered by eLearningline.com

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1. Healthcare EDI Transactions Fundamentals
• Introduction to Healthcare IT
• Branching Of Healthcare
• Framework of Healthcare Branches
• Healthcare Statistics
• Major developments in Healthcare

2. Office & Patient Management
• Information Exchange
• Medical Record
• Managing New Patients
• Managing Established Patients
• Clean Claim

3. CMS 1500
• When To Use
• How To Use
• Sample CMS 1500 Form
• Patient Information

4. Uniform billing
• When To Use
• How To Use
• Sample UB 04 Form
• Inpatient Information
• Outpatient Information

5. Coding overview
• CPT Coding
• Modifiers
• Unlisted Codes
• HCPC National Level II Codes
• CPT Coding with Manual

6. Overview of ICD codes
• ICD History
• Why ICD codes?
• ICD Codes – What does it tell us?
• Use of ICD codes
• Anatomy and Terminology for Coders
• Advanced Anatomy and Terminology for Coders
• Coding for the Non-Coder

7. ICD 9 Vs ICD 10 History
• Why ICD-10 over ICD-9
• ICD-9 Vs. ICD-10
• ICD-10 CM Diagnosis Code – Overview
• ICD-10 PCS Procedure Code – Overview
8. ICD-10 codes
• Preparation Analyzer
• Anatomy and Terminology Essentials from an ICD-10-CM Perspective
• Anatomy and Terminology Essentials from an ICD-10-PCS Perspective
• General Equivalence Mappings (GEMs)
• ICD 10 Implementation phases
• ICD-10 Release Timeliness
• ICD-10 Impact to Payer

9. Overview Of Electronic Data Interchange
• History Of EDI Transactions
• EDI X12 Transaction Sets
• EDI HL7

10. What goes inside EDI TRANSACTIONS / MAPPING?

• 270 – Health Care Eligibility Benefit Inquiry and Response
• 271 – Health Care Eligibility Response
• 276 – Health Care Claim Status Request
• 277 – Health Care Claim Status Response
• 278 – Health Care Services Review – Request for Review and Response
• 837 – Health Care Claim Institutional, Dental, Professional
• 835 – Health Care Claim Payment / Advice
• 834 – Benefit Enrollment and Maintenance
• 820 – Payroll Deducted and Other Group Premium Payment for Insurance Products

11. Health Insurance Exchange?
• Introduction of HIX
• Introduction to HUB
• State Exchange Overview
• 1095 Tax Form and its usage
• 8962 Form & usage

12. Case Study

13. Resume & Interview Guideline

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