Course Catalog | Module 7 Study Guide
Students will learn about submitting final claims for full episode and cover what’s a Partial Episode Payment (PEP), Low Utilization Payment Adjustment (LUPA) and Outlier payments. Will look at how supplies are billed and the use of the Treatment Authorization Codes (TAC) as well as other billing codes like G-Codes, Therapy codes, Revenue Codes, HCPC codes and nursing codes. This course will also discuss prebilling audits, how to calculate Health Insurance Prospective Payment System (HIPPS) codes all while using final UB04 examples.