(See related pages)
After completing Chapter 15, you will be able to:
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15.1 List the basic steps of the health insurance claim process. |
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15.2 Describe your role in insurance claims processing. |
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15.3 Explain how payers set fees. |
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15.4 Define Medicare and Medicaid. |
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15.5 Discuss TRICARE and CHAMPVA health-care benefits programs. |
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15.6 Distinguish between HMOs and PPOs. |
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15.7 Explain how to manage a workers' compensation case. |
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15.8 Apply rules related to coordination of benefits. |
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15.9 Describe the health-care claim preparation process. |
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15.10 Complete a Centers for Medicare and Medicaid Service (CMS-1500) claim form. |
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15.11 Identify three ways to transmit electronic claims. |