1500 Claim Form Instructions

Download Support Tool Seeing is believing and that starts the learning process. In this very helpful tool, we’ve created a visual map that outlines the most important fields on the 1500 billing form and what should be included. Use it to ensure that your billing software maps the most important information to the proper section...
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Election to Self-Pay – The HIPAA Way

Right to Request Restrictions Since its initial adoption, the Health Insurance Portability and Accountability Act of 1996 (HIPAA) Privacy Rule has granted individuals the right to request restrictions regarding the use and disclosure of their protected health information (PHI) for treatment, payment, and healthcare operations (TPO). The law also grants individuals the right to request...
Oops, your level of membership doesn’t include access to these advanced materials. They are reserved for members working 1-on-1 with our specialists for analysis and training. Please reach out to the HelpDesk to learn more about accessing these materials. Click here to learn more.

Patient Acknowledgment for Non-Covered Services

Obtaining Patient Acknowledgment  Some carriers (with whom the doctor may or may not participate) may not allow a particular service or product the patient needs, or their fee schedule assigned to the service or product may be far below the doctor’s costs. Depending on the doctor’s contract with the carrier, the patient may be able...
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Verifying Medicaid Benefits

Medicaid coverage and eligibility can be a moving target since states base policies on current legislation and available funds. Because of the variety of restrictions, it’s vital to confirm benefits for every patient and every visit, in order to bill correctly and compliantly. This tutorial provides guidance on locating information online and additional information on...
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Worker’s Compensation Verification Form

Support Tool Once a clinic has determined the type of coverage and located state and federal online provider resources, it is time to verify the benefits. Although the state and federal website portals offer great resources when it comes to manuals and forms, they do not provide the information necessary to ensure reimbursement for the...
OOPS, this page contains content reserved for KMC University members. We’d love to welcome you to the KMC University family because there is an amazing amount of helpful content in the trainings and resources of the KMC University Library. Click here to learn more.

Helpful Tools for Verification

Helpful Tools for Verification

Once you have determined the type of coverage and located your state and federal online provider resources, it is time to verify the benefits. Although the state and federal website portals offer great resources when it comes to manuals and forms, they do not provide the information you need to ensure reimbursement for the services rendered.

It can be challenging to think about all the questions you need to ask when verifying coverage for a work-related injury. The support tool in this module will help you gather the information you need when calling about a work injury claim. Check out the Rapid Tutorial titled Utilize the Workers’ Compensation Verification Form which provides a brief overview of the verification form and how to customize it for your clinic. You may want to download the Support Tool titled Workers’ Compensation Verification Form ahead of time and follow along during the tutorial.