HIPAA EDI Online Webinars And Courses Description
HIPAA EDI Online Webinars are suitable for novice and experienced specialists involved in health care electronic operations. Training goes in a format of online instructor-led webinar. Attendees have the possibility to work on real-world examples and to ask the instructor HIPAA-related questions. Below we give the description of the courses offered.
If you are interested in EDI training offered below, please, send us an inquiry e-mail to info@ediacademy.com or visit our course schedule page for registration.
HIPAA EDI 101 – Introduction To The Health Care
- Health Care EDI Defined, Benefits of Health Care EDI
- X12 Standards, X12N Workgroups
- WEDI – Workgroup for Electronic Data Interchange
- Software & Infrastructure for EDI
- EDI Connectivity
HIPAA EDI 110 – EDI Enveloping & TR3 Viewing
- EDI Enveloping ISA-GS-ST-SE
- Key terms related to the structure of EDI
- TR3 manual
- EDI Implementation Guides and Mapping Specs
- Health Industry Related Code Sets – Clinical and Non-Clinical
HIPAA EDI 201 – Deciphering HIPAA EDI Transactions – Enrollment & Eligibility
- Deciphering 834 Benefit Enrollment 005010X220A1
- 834 Update File, 834 Audit File, 834 Exchange Enrollment 005010X307
- 820 Premium Payment 005010X218
- Deciphering 270-271 Eligibility Enquiry and Response & 271005010X279A1
- 270 Eligibility Inquiry, 271 Response To Eligibility Inquiry
- 278 Prior Authorizations and Referral Authorizations
- CAQH Requirements – Real Time & Batch
HIPAA EDI 210 – Deciphering EDI Transactions 837 Claims & Acknowledgements
- 837 Professional Claim 005010X222A1, 837 Institutional Claim 005010X223A2, 837 Dental Claim 005010X223A2
- TA1 Acknowledgment
- 999 Acknowledgement 005010X231
- 277CA Claim Acknowledgment 005010X214
- Medicare MAO Acknowledgments
- 276-277 Claim Status Inquiry & Response 005010X212
HIPAA EDI 215 – Deciphering EDI Transactions 835 Health Care Claim Payment/Advice
- Deciphering 835 005010X221A1
- Claim Adjustment Group Codes, Claim Adjustment Reason Codes
- Line Level Balancing, Claim Level Balancing, Transaction Level Balancing, Provider Level Adjustments
- 835 Best Practices
HIPAA 401: Advanced 837 Coordination of Benefits & 277/RFAI & 837 Outbound To CMS and Other Entities
- Deciphering 837 005010X221A1
- 837 mapping exercise scenarios (Professional, Institutional and Dental)
- Coordination of Benefits (COB) and outbound MRA (Medicare Risk Adjustment) claims.