Claim Appeals for CSHCN
The goal of this training is to discuss the various levels of claim appeals and methods for submitting them. In this training, we'll look at three different scenarios involving claim appeals.
Claims and Appeals
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Claim Appeals for Medicaid
Learn about the types, levels, and methods of Medicaid claim appeals.
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Navigating Paper Claim Forms
This training provides information on how to fill out paper claim forms such as the CMS-1500, UB-04 CMS 1450, Family Planning 2017, and ADA Dental paper claim form.
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Mapping Medicare Crossover Claims
This training provides information and scenarios on how to submit claims for reimbursement when a client is dual eligible for both Medicare and Medicaid benefits.
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Remittance and Status (R&S) Reports for LTC Providers A Quick Reference Guide
This Quick Reference Guide is designed to assist LTC providers in accessing, understanding, and reconciling their Remittance and Status Reports.
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Medicaid Basics eLearning
The Medicaid Basics computer-based-training (CBT) is a high-level overview of Medicaid and other state healthcare topics for providers. Resource links included in each topic section guide users to policy information, in-depth training, and documentation to help them expand their knowledge.
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Audiovisual/Audio-only Behavioral Health Services Delivery
Learn how delivering behavioral health services using audio-only and audiovisual technology offers flexibility and safety. Infographics and a video explain the policies and procedures for effective service delivery.As mandated by House Bill 4, passed by the 87th Legislature, Regular Session...
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YES Waiver
Elevate your expertise of the Youth Empowerment Services (YES) Waiver program as you gain insight to the enrollment process, IPC authorization, the claim submission process. Unlock tools and support for self-service and troubleshooting.Note: At the time of the webinar recording,...
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Remittance and Status Report
The Remittance and Status (R&S) training helps providers understand how to access and interpret R&S reports, which detail the status of claims, including pending, paid, denied, and adjusted claims.
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Third Party Liability
The Third Party Liability (TPL) training educates providers on identifying other insurance and third-party resources. An overview on cost avoidance, cost recovery, and compliance with claim submission deadlines is also provided.
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MTP
This CBT discusses the basics of the MTP, including services offered, how potential MTP providers apply to the program, the claims process, and resources.
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TexMedConnect for LTC
Simplify your workflow with TexMedConnect, the free, secure online tool designed for TMHP long-term care (LTC) providers. Enter, save, and submit claims , track statuses, make adjustments, and access R&S reports—all accessible anytime, anywhere.
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TexMedConnect for Acute Care
Streamline operations with TexMedConnect, a free, secure online tool from TMHP. Accessible anywhere, it allows providers to verify eligibility, submit claims and appeals, track statuses, and access R&S reports—empowering efficient claims management.
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CSHCN Services Program
The CSHCN Services Program Training helps providers serve children with special health care needs. It covers clients, benefits, enrollment, responsibilities, authorizations, claims, and appeals. Enhance your service delivery today!
