AR and Denial Management
AR and Denial Management
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What Is a Spenddown for Medicaid? Medicaid Spend Down- How does it work?
In this vide, we discussed spend down in Medicaid and how does it work.
Some consumers make too much money to be qualified for Medicaid. If they use the extra money to pay for medical expenses, some of these persons might be eligible for Medicaid. It's known as a spend down
The process of determining Medicaid eligibility and whether an individual's income or assets exceed the eligibility limits is typically handled by the state's Medicaid agency or a designated third-party organization. When an individual applies for Medicaid, they are required to provide information about their income and assets, and the Medicaid agency will review this information to determine if the individual meets the eligibility requirements.
Some common examples of allowable expenses for Medicaid spend down-
Medical and dental expenses, such as doctor visits, hospitalization, prescription drugs, and dental care, Health insurance premiums, including Medicare premiums and private health, insurance premiums
Home health care services and personal care services , Medical transportation costs, Assisted living and nursing home costs
Certain home modifications or adaptive equipment , Funeral and burial expenses
#medicaid
#spenddown
#ushealthcare
#claim
#aranddenialmanagement
#healthinsurance
Переглядів: 1 152

Відео

what is aca or Obama care
Переглядів 914Рік тому
In this video we had discussed what is Obama care in us healthcare, is this a plan or just rule, how does it work, this is valuable information about Obamacare, this is really beneficial for those people who are unemployed or self employed in US. ACA (affordable care act 2010) this act helps to Americans to purchase health plan for their self, some people compare this with Medicare and Medicaid...
Claim not on file in US healthcare
Переглядів 4,1 тис.Рік тому
In this videos, discussed about what is claim not on file scenario and how we can follow up on this scenario, we also discussed what is the role of clearing house in us healthcare, what is the advantage of clearing house, what are the important factor we should know when we come across this situation. we also discussed how important is a group number in medical billing while submitting the clai...
What is Hippa in healthcare? what is hippa compliance? What is PHI? Hippa Privacy rule
Переглядів 6 тис.2 роки тому
In this video we have described the healthcare Insurance Portability and Accountability ACT 1996, what is the use of Hippa, what is hippa privacy rule? what is HIPPA violation, what is the mean of PHI, how can we protect the PHI? what needs to be done to protect the PHI, what is the hippa violation, what are the penalties of hippa violation ? By this video you will get the important knowledge o...
Inclusive and bundled denial
Переглядів 10 тис.2 роки тому
This video discussed two confusing terms of medical billing which are inclusive and bundled, explained the difference between inclusive and bundling, and also described the process to solve this kind of claim denial also described what is global period. I also mentioned what is pre-operative and post-operative services. Missed giving the details for code D0210- this is FMX ( full mouth x-rays) ...
Out of Pocket Maximum
Переглядів 7 тис.2 роки тому
In this video, that has been fully described about out of pocket maximum. After watching this video you will be able to understand this important concept. In this video also told about other member responsibility like - copayment, coinsurance, deductible, if you would like to see more videos so please subscribe my channel and be with me. I will regularly update the important topics related this...
Dental billing and Medical billing
Переглядів 3,6 тис.2 роки тому
In this video, I described both processes (dental billing and medical billing). Dental is a small but growing process, so you can start your carrier in the dental billing process, In this video, you will find the difference between medical billing and dental billing, apart from that you will find the difference between CDT code and CPT codes, how does it work. We use J400 or blank ada 2012 form...
Private or commercial insurance in us healthcare
Переглядів 9 тис.2 роки тому
In this video, we have discussed private or commercial insurance in us healthcare, when you work in the medical billing process, then you usually face this insurance, then you must have some knowledge, of how these insurance companies work, by this video you can enhance your knowledge. we have discussed HMO, PPO, and POS. also told about the no-fault carrier, and how this works. If you would li...
parts of government insurance in us healthcare
Переглядів 7 тис.2 роки тому
Hi there! in this video we are discussing parts of insurance in us healthcare medical billing process, I have described the govt insurance, how it works and what is the eligibility, I have discussed medicare, Medicaid, workers compensation, Tricare, champ VA, this video is very important, this is for educational purpose. In the next video, I will be described the private plan so please subscrib...
Payment under capitation in medical billing
Переглядів 3 тис.2 роки тому
In this video, I have explained the capitation payment method in Us healthcare. This is part of medical billing. When you work in medical billing, you often face this denial, I have explained the solution when we get the denial-related capitation, for example, if you get the denial of CO24 then, what you should do in order to get rid of this denial. please watch my full video and subscribe to m...
Co13 and Co14 denial in medical billing
Переглядів 1,2 тис.2 роки тому
when you work in medical billing so you often get this co13 and co14 denial, in this video we have described this denial. By end of this video, you will get knowledge about this denial. whenever you go for the interview to get a job in the medical billing process, take a look on these kinds of denial so it will be easy to understand, if you want so you can make notes. subscribe to my channel an...
Medicare eligibility and its parts full details
Переглядів 2,3 тис.2 роки тому
In this video, we have discussed medicare eligibility and its parts, who is eligible in medicare, how medicare works, what services are covered under this federal government program, we have also discussed cms. we have covered all 4 parts of medicare, by this video you will get to know what is a skilled nursing facility, inpatient hospital, what ESRD, Hospice care, by completing this video your...
What is Cob or coordination of benefits in medical billing
Переглядів 4,1 тис.2 роки тому
In this video we discussed cob in medical billing, why this term uses in us healthcare, while you work in medical billing company, you often gets this kind of denial like co22, Ma04, N4, need primary, its mean these all denials are related to COB, this was much-needed concept, in this video, you will get deep knowledge about this concept, we have also discussed birthday rule which is very impor...
Pre-authorization pre AUTH or co197 denial in medical billing
Переглядів 25 тис.2 роки тому
In this video, we have discussed authorization-related denial, often auth denial comes in medical billing like co197 or co15 auth missing, so in this video, we discussed why authorization is important for any medical claims in our healthcare and what is the solution if we face any denial for auth if you like this video then please subscribe my channel. #Ar and Denial Management #us healthcare #...
Medical billing Overview
Переглядів 1,5 тис.2 роки тому
Medical billing Overview