Accurate insurance plan selection is a critical job function for those who perform front-end revenue cycle functions. This course was created to help you gain a better understanding of insurance plan benefit designs. We will discuss common terminology, insurance plan designs, networks, insurance benefits and medical necessity.
- Identify common insurance plan types
- Recognize and use common insurance terms
- Demonstrate your understanding of basic insurance plan design
- Demonstrate your ability to calculate an estimated patient responsibility based on plan design
- Pre-authorization and Notifications of Admission
- Basic understanding of Real Time Eligibility
- Importance of entering correct insurance information