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Category: Accountant and Auditor

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This course provides an overview of denials for payer audits. Areas reviewed include the benefits of managing denials through internal audits and how to use denial reports, benchmarks, and trends.
This course provides an overview of denials for payer audits. Areas reviewed include the benefits of managing denials through internal audits and how to use denial reports, benchmarks, and trends.
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Produced by: nThrive
This course provides an overview of documentation reviews for CPT procedures for payer audits. Areas reviewed include prebill and retrospective reviews for CPT procedures, sources of internal and external...
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This course provides an overview of documentation reviews for CPT procedures for payer audits. Areas reviewed include prebill and retrospective reviews for CPT procedures, sources of internal and external data, and audit examples.
This course provides an overview of documentation reviews for CPT procedures for payer audits. Areas reviewed include prebill and retrospective reviews for CPT procedures, sources of internal and external data, and audit examples.
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Produced by: nThrive
This course provides an overview of documentation reviews for diagnoses in payer audits. Areas reviewed include the auditor’s role in reviewing documentation and diagnosis codes, critical areas of focus, and...
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This course provides an overview of documentation reviews for diagnoses in payer audits. Areas reviewed include the auditor’s role in reviewing documentation and diagnosis codes, critical areas of focus, and the resources used.
This course provides an overview of documentation reviews for diagnoses in payer audits. Areas reviewed include the auditor’s role in reviewing documentation and diagnosis codes, critical areas of focus, and the resources used.
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Produced by: nThrive
This course provides an overview of documentation reviews for ICD-10-PCS procedures for payer audits. Areas reviewed include common inpatient procedure denials, examples of documentation errors and coding...
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This course provides an overview of documentation reviews for ICD-10-PCS procedures for payer audits. Areas reviewed include common inpatient procedure denials, examples of documentation errors and coding guidelines often missed by internal auditors, and methods for communicating errors to providers and staff.
This course provides an overview of documentation reviews for ICD-10-PCS procedures for payer audits. Areas reviewed include common inpatient procedure denials, examples of documentation errors and coding guidelines often missed by internal auditors, and methods for communicating errors to providers and staff.
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Produced by: nThrive
This course provides an overview of the elements of payer review for payer audits. Areas reviewed include the core competencies of an auditor, elements for types of service, and reimbursement models and...
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This course provides an overview of the elements of payer review for payer audits. Areas reviewed include the core competencies of an auditor, elements for types of service, and reimbursement models and metrics.
This course provides an overview of the elements of payer review for payer audits. Areas reviewed include the core competencies of an auditor, elements for types of service, and reimbursement models and metrics.
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Produced by: nThrive
This course provides an overview of Hierarchical Condition Categories (HCCs) for payer audits. Areas reviewed include Hierarchical Condition Categories audit reviews, risk adjustment validation audits, and...
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This course provides an overview of Hierarchical Condition Categories (HCCs) for payer audits. Areas reviewed include Hierarchical Condition Categories audit reviews, risk adjustment validation audits, and how to respond to HCC payer audits.
This course provides an overview of Hierarchical Condition Categories (HCCs) for payer audits. Areas reviewed include Hierarchical Condition Categories audit reviews, risk adjustment validation audits, and how to respond to HCC payer audits.
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Produced by: nThrive
This course provides an overview of payer audits. Areas reviewed include payer audit types, common components of payer audits, and managing audit findings.
This course provides an overview of payer audits. Areas reviewed include payer audit types, common components of payer audits, and managing audit findings.
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Produced by: nThrive
This course provides an overview of payer audits and medical necessity. Areas reviewed include medical necessity standards, payer metrics, and documentation used to determine medical necessity.
This course provides an overview of payer audits and medical necessity. Areas reviewed include medical necessity standards, payer metrics, and documentation used to determine medical necessity.
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Produced by: nThrive
This course provides an overview of payer audits and patient status. Areas reviewed include patient status types, the impact of patient status on coding and billing, and example scenarios.
This course provides an overview of payer audits and patient status. Areas reviewed include patient status types, the impact of patient status on coding and billing, and example scenarios.
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Produced by: nThrive
This course provides an overview of prebill and retrospective reviews for payer audits. Areas reviewed include the impact of prebill and retrospective reviews, the differences between them, and their common...
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This course provides an overview of prebill and retrospective reviews for payer audits. Areas reviewed include the impact of prebill and retrospective reviews, the differences between them, and their common elements.
This course provides an overview of prebill and retrospective reviews for payer audits. Areas reviewed include the impact of prebill and retrospective reviews, the differences between them, and their common elements.
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Produced by: nThrive
This course provides an overview of payer audits, private payer policies, and documentation auditing tools. Areas reviewed include administrative and plan policies, documentation checklists, and examples of...
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This course provides an overview of payer audits, private payer policies, and documentation auditing tools. Areas reviewed include administrative and plan policies, documentation checklists, and examples of audit impact.
This course provides an overview of payer audits, private payer policies, and documentation auditing tools. Areas reviewed include administrative and plan policies, documentation checklists, and examples of audit impact.
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Produced by: nThrive
This course provides an overview of payer audit processes. Areas reviewed include payer audit process steps, responding to payer audits, and remediation efforts.
This course provides an overview of payer audit processes. Areas reviewed include payer audit process steps, responding to payer audits, and remediation efforts.
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Produced by: nThrive
This course provides an overview of references for payer audits. Areas reviewed include common references used by commercial payers, sources and metrics collected by payers for audit, and example tools and...
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This course provides an overview of references for payer audits. Areas reviewed include common references used by commercial payers, sources and metrics collected by payers for audit, and example tools and references that influence payers.
This course provides an overview of references for payer audits. Areas reviewed include common references used by commercial payers, sources and metrics collected by payers for audit, and example tools and references that influence payers.
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Produced by: nThrive
This course provides an overview of auditing tools for pro-fee audits. Areas reviewed include the pro-fee audit process, commonly used policies and regulations, the various auditing tools that support these...
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This course provides an overview of auditing tools for pro-fee audits. Areas reviewed include the pro-fee audit process, commonly used policies and regulations, the various auditing tools that support these processes, and examples of how they are applied in a pro-fee audit.
This course provides an overview of auditing tools for pro-fee audits. Areas reviewed include the pro-fee audit process, commonly used policies and regulations, the various auditing tools that support these processes, and examples of how they are applied in a pro-fee audit.
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Produced by: nThrive
This course introduces pro-fee audits. Areas reviewed include different types of pro-fee audits and their components.
This course introduces pro-fee audits. Areas reviewed include different types of pro-fee audits and their components.
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Produced by: nThrive
This course provides an overview of processes for pro-fee audits. Areas reviewed include the steps of a pro-fee audit, appropriate responses to a pro-fee audit, and remediation efforts.
This course provides an overview of processes for pro-fee audits. Areas reviewed include the steps of a pro-fee audit, appropriate responses to a pro-fee audit, and remediation efforts.
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Produced by: nThrive
This course provides an overview of references for pro-fee audits. Areas reviewed include references available to providers and auditors, government oversight and its role in development of policies and audit...
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This course provides an overview of references for pro-fee audits. Areas reviewed include references available to providers and auditors, government oversight and its role in development of policies and audit procedures, metric types, and examples of commonly used pro-fee audit tools.
This course provides an overview of references for pro-fee audits. Areas reviewed include references available to providers and auditors, government oversight and its role in development of policies and audit procedures, metric types, and examples of commonly used pro-fee audit tools.
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Produced by: nThrive