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and coding knowledge

Healthcare Claims Tutorial

Navigating the world of healthcare claims, coding, billing, and reimbursement can be difficult. You may be someone who understands CPT codes but want to know how they are used for reimbursement, or you may understand the billing process but not know what payors do with the codes on a claim.

To assist you in learning more about these topics, we are pleased to share with you our guide to Healthcare Claims, Coding, Billing, and Reimbursement. This document describes the major coding systems, including CPT, HCPCS, and ICD-10, DRGs, and APCs; the process by which a claim is generated and adjudicated; and common reimbursement methods including RBRVS, capitation, carve outs, and risk sharing. Download the guide.

We invite you to share this document within your organization and with your colleagues. If you are interested in scheduling an on-site training session, please contact us.

Nokomis provides comprehensive webinars upon request.

MEDICAL CLAIMS BOOT CAMP

Cracking the Code to Healthcare Claims, Coding, Billing, and Reimbursement

COURSE OVERVIEW

This course covers the fundamentals of medical claims, coding, billing, and reimbursement by explaining how all of these components work together. Emphasis will be placed on the practical application of the latest industry knowledge and standards, with the goal of helping those who work with medical claims and claims data stay ahead of the game.

Participants will learn about the following:

  • The claim flow process from registration through adjudication and payment
  • How physicians and hospitals set and manage charges
  • Critical data elements on the two major claim forms and what they mean
  • How and why the major coding systems are utilized
  • How various reimbursement methods are used by payors

 

AAPC Continuing Education Units Available

This program meets AAPC guidelines for 6.0 Core A continuing education units.

TOPICS

Who Should Attend

  • Financial Analysts
  • Provider Contracting Staff
  • Chief Financial Officers & Finance Directors
  • Directors of Managed Care
  • Claim Analysts
  • SAS Programmers
  • Actuaries
  • Underwriters
  • Billing Department Staff
  • Medical Coders
  • Anyone Who Works with Medical Claims Data
Nokomish Health | Rich Henriksen

Rich Henriksen
CEO and Founder of Nokomis

About the Instructor

Rich Henriksen is the Chief Executive Officer and founder of Nokomis. Rich has 33 years of experience in healthcare systems, claims, coding, billing, and reimbursement. He has led managed care departments and provider contracting units at a variety of organizations, including hospitals, clinics, and health plans. Rich has worked with over 120 different organizations, ranging from hospitals and clinics to health plans and third-party administrators. As a respected industry expert he is well known for his unparalleled depth of knowledge in all aspects of healthcare coding, billing and reimbursement.

Credentials

Rich received his Bachelor of Arts in biology from Luther College in Decorah, Iowa, and his Master of Arts in Healthcare Administration from The University of Iowa. He resides in Minneapolis, Minnesota where he leads the Nokomis team on their mission to set a new standard for medical claim review. Rich has previously trained staff at many organizations and has presented several times at SAS user conferences and other regional conferences.

Methodology

Rich is an engaging instructor with an informal teaching style. He makes sessions enjoyable and easy to follow. Rich has taught this course to many professionals within the medical industry and incorporates feedback and suggestions from previous participants to evolve this incredibly insightful program. Rich allows time in the schedule for participants to ask questions.