How to Bill Medicaid Managed Care

Description

This training session will focus on billing Medicaid Managed Care effectively, covering key processes such as handling claim rejections, understanding documentation for denials, and applying proper coding guidelines.

Target Audience

This training video will be helpful to billing specialists, healthcare providers, and administrative staff who work with Medicaid Managed Care claims and aim to optimize their claim processing efficiency.

Learning Outcomes

After completing this training, you will be able to:

1. Identify the appropriate actions to take when claims are rejected by a clearinghouse.
2. Understand the purpose and usage of key documents like the Remittance Advice (RA).
3. Apply the National Correct Coding Initiative (NCCI) guidelines for accurate claim submission.
4. Recognize the role of modifiers in clarifying services provided on claims.