HIPAA X12 EDI Training Online Schedule December 2018
HIPAA X12 EDI training is conducted through a session of webinars for staff involved in electronic business processes in health care (clearing houses, providers, Medicare institutions etc.).
- The cost is $250 per session per person.
- A 20% discount is available if you select all sessions (email us info@ediacademy.com for a discount).
- A 20% discount is offered for groups of two or more from the same company.
- These are live webinars, you have the opportunity to consult with an expert that has implemented EDI for a number of companies and trading partners.
- Every attendee will become a certified EDI professional by the EDI Academy.
- You will also receive a 100+ page course manual along with other educational resources.
HIPAA EDI 101 – Introduction To The Health Care EDI Environment
Monday, December 3rd, 2018 03:00 PM – 04:30 PM EST
https://attendee.gotowebinar.com/register/9196599322880432131
- 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
Wednesday, December 5th, 03:00 PM to 04:30 PM EST
https://attendee.gotowebinar.com/register/91671076616235523
- 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.
Friday, December 7th, 2018 03:00 PM – 04:30 PM EST
https://attendee.gotowebinar.com/register/3664290019493033219
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 & Acknowledgements
HIPAA EDI 110 is a pre-requisite for this class.
Monday, December 10th, 2018 03:00 PM – 04:30 PM EST
https://attendee.gotowebinar.com/register/2723632533163308803
HIPAA Billing & Encounter Session
- 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
HIPAA EDI 110 is a pre-requisite for this class.
Wednesday December 12th, 2018 03:00 PM – 04:30 PM EST
https://attendee.gotowebinar.com/register/5218763066168481027
HIPAA X12 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 EDI 401: Advanced 837 Coordination of Benefits & 277/RFAI
Friday, December 14th, 2018 03:00 PM – 04:00 PM EST
https://attendee.gotowebinar.com/register/689962632289438979
This course requires three pre-requisite courses: HIPAA EDI 110, HIPAA EDI 210 and HIPAA EDI 215.
Part 1: 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: 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.
HIPAA EDI 410: 837 Outbound To CMS and Other State Entities
Monday December 17th, 2018 03:00 PM – 04:00 PM EST
https://attendee.gotowebinar.com/register/7113199610594146819
This course requires three pre-requisite courses: HIPAA EDI 110, HIPAA EDI 210 and HIPAA EDI 215. EDI 401 is strongly recommended but not required to take this course.
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.