HH07: Final Claim Types – 3.0 Lecture Hours

Students will learn about submitting final claims for full episode and cover what’s a Partial Payment Adjustment (PPA), Low Utilization Payment Adjustment (LUPA) and Outlier payments. We will look at how supplies bundled, as well as, other billing codes like Nursing codes, Therapy codes, Revenue Codes, HCPC codes and other codes. This course will also discuss prebilling audits, how to calculate Health Insurance Prospective Payment System (HIPPS) codes using final UB04 examples.

Registered students are to log into PMBI’s education portal online with their unique credentials that will be given to them once they have completed registration and payment requirements.

Students must watch each online recorded session, in it’s entirety, in sequential order. Students must pass the required quiz with a score of 70%.