HIPAA EDI Webinars

HIPAA EDI Webinars Bundle For Health Care

For novice and experienced Health Care specialists. Online instructor-led webinars. Real-world examples and cases. Opportunity to consult with an expert that has implemented EDI for dozens trading part. Become a certified HIPAA EDI professional by completing all six webinars in a bundle. Receive a 100+ page course manual.

HIPAA EDI 101 – Introduction To The Health Care EDI Environment

Webinar Times: Mondays at 03:00 PM – 04:30 PM EST – 2021 Dates: April 19th, May 24th, July 12th, August 16th, September 27th, November 8th, December 10th

Register a la carte: https://attendee.gototraining.com/rt/151393259285733634 

  • Introduction to the Health Care EDI Environment
  • Health Care EDI Defined
  • Benefits of Health Care EDI
  • X12 Standards
  • X12N Workgroups
  • WEDI – Workgroup for Electronic Data Interchange
  • Software & Infrastructure for EDI (What’s a Translator & Mapper)
  • EDI Connectivity (e.g. SFTP, HTTPS, Web Services)

HIPAA EDI 110 – EDI Enveloping & TR3 Viewing

Webinar Times: Tuesdays at 03:00 PM – 04:30 PM EST – 2021 Dates: April 20th, May 25th, July 13th, August 17th, September 28th, November 9th, December 13th

Register a la carte: https://attendee.gototraining.com/rt/7983818215821203201

  • EDI Enveloping & TR3 Viewing
  • EDI Enveloping ISA-GS-ST-SE
  • Key terms related to the structure of EDI (e.g. qualifier, segment, terminator, delimiter)
  • Instructions on using the TR3 manual to look at transactions, segments and data elements, situational rules and loops.
  • LOOP IDs – Deep Dive (HL,NM1,CLM,etc)
  • Instructions on viewing EDI Implementation Guides and Mapping Specs
  • Health Industry Related Code Sets – Clinical and Non-Clinical

HIPAA EDI 201 – Deciphering HIPAA EDI Transactions – Enrollment & Eligibility

HIPAA EDI 110 is a pre-requisite for this class.

Webinar Times: Wednesdays at 03:00 PM – 04:30 PM EST – 2021 Dates: April 21st, May 26th, July 14th, August 18th, September 29th, November 10th, December 14th

Register a la carte: https://attendee.gototraining.com/rt/2455576005944915969

Eligibility & Enrollment Series

  • 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 & 271 005010X279A1
  • 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

HIPAA EDI 110 is a pre-requisite for this class.

Webinar Times: Thursdays at 03:00 PM – 04:30 PM EST – 2021 Dates: April 22nd, May 27th, July 15th, August 19th, September 30th, November 11th, December 15th

Register a la carte: https://attendee.gototraining.com/rt/8115484733247838977

HIPAA Billing & Encounter Session

  • 837 Professional Claim 005010X222A1
  • 837 Institutional Claim 005010X223A2
  • 837 Dental Claim 005010X223A2

HIPAA EDI 215 – Deciphering EDI Transactions – 835 Health Care Claim Payment/Advice

HIPAA EDI 110 is a pre-requisite for this class.

Webinar Times: Fridays at 03:00 PM – 04:30 PM EST – 2021 Dates: April 23rd, May 28th, July 16th, August 20th, October 1st, November 12th, December 16th

Register a la carte: https://attendee.gototraining.com/rt/4233480810518527745

HIPAA X12 835 Health Care Claim Payment/Advice

  • 277CA Claim Acknowledgment 005010X214
  • 276-277 Claim Status Inquiry & Response 005010X212
  • TA1 Acknowledgement
  • 999 Acknowledgement 005010X231
  • Medicare MAO Acknowledgments
  • Deciphering 835 005010X221A1
  • Claim Adjustment Group Codes
  • Claim Adjustment Reason Codes
  • Line Level Balancing
  • Claim Level Balancing
  • Transaction Level Balancing
  • Provider Level Adjustments
  • 835 Matching Logic

HIPAA EDI 401: Advanced 837 Coordination of Benefits & 277/RFAI & Encounters

HIPAA EDI 110 is a pre-requisite for this class.

Webinar Times: 03:00 PM – 04:30 PM EST – 2021 Dates: April 26th, June 1st, July 19th, August 23rd, October 4th, November 15th, December 17th

Register a la carte: https://attendee.gototraining.com/rt/509377752636664577 This course requires three pre-requisite courses: HIPAA EDI 110, HIPAA EDI 210 and HIPAA EDI 215.

Part 1: COB In this session we will cover advanced 837 topics with different situational rules. In addition, we will walk you through several scenarios of Coordination of Benefits and show you how the 837 and the 835 are linked when more than one payer is involved.

Part 2: 277/FRAI This combined section will cover the 277 Request for Additional Information along with the 275 Health Care attachments. Real-world implementation examples and scenarios will be covered.

Part 3: Encounters Transmitting 837 Outbound to CMS (Center for Medicare and Medicaid Services) is a common practice for most health plans. The Encounter Data System (EDS) Companion Guide contains information to assist Medicare Advantage Organizations (MAOs) and other entities in the submission of encounter data. This class will go through the highlights of the Encounter Companion Guide for institutional and professional claim. We will also some highlights Medicaid claim companion guides for some states. We will show examples of 837 x12 transactions for the following encounter types:

  • Standard encounters & Atypical Providers
  • Capitated encounters
  • Replacements
  • Deletes.

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