Medicare Bootcamp: Claims Skills

Understanding Medicare claims can be a difficult task. This bootcamp session provides the basics for claims. This session: • Explains the claim types • Provides resources for completing the claim • Clarifies the first step in the claim process Resources MLN Booklet Medicare Billing: CMS-1450 & 837I https://www.cms.gov/files/document/83... Medicare Claims Processing Manual, Chapter 24, Section 90.2 & 90.3 https://www.cms.gov/regulations-and-g... WPS DDE Overview webpage https://www.wpsgha.com/guides-resourc... CMS HIPAA Eligibility Transaction System (HETS) webpage https://www.cms.gov/data-research/cms... WPS SNAP (Secure Net Access Portal) User Manual https://www.wpsgha.com/tools/portal-u... CMS Medicare Secondary Payer Manual https://www.cms.gov/regulations-and-g... CMS Beneficiary Notices Initiative (BNI) https://www.cms.gov/medicare/forms-no... WPS Complete and Timely Documentation of Medicare Services article https://www.wpsgha.com/guides-resourc... Medicare Claims Processing Manual, Chapter 1 - General Billing Requirements,§ 80.2.1.2 - Payment Floor Standards https://www.cms.gov/regulations-and-g... X12 External Code Lists https://x12.org/codes Medicare Claims Processing Manual, Chapter 27 - Contractor Instructions for CWF https://www.cms.gov/regulations-and-g... Chapters 00:00 Intro 02:42 Claim Types 08:40 Claims Processing 37:26 Resources 40:29 Questions 41:40 Closing Comments