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Data and Billing in Sync: CMS 1500/837p Training Course
This course will guide you through five modules that detail the information necessary to submit an accurate professional claim to payers. The Health Insurance Portability and Accountability Act of 1996 (HIPAA) mandates data requirements (Accredited Standards Committee (ASC) X12 version 5010) for the electronic submission of professional health care claims (837P transactions). Payers require adherence to these requirements for both electronic and paper (form 1500) billing or the claim will be denied. Learn which data is required versus which is situational, which item numbers are impacted, and how to complete them in order to ensure submission of a clean claim. This training also includes industry standards for these claims and shows where the Military Health System (MHS) is similar/different. It offers learning checks throughout to assist in retaining knowledge and offers a Post Test for completion and/or Continuing Education Unit (CEU) credit. 

The goals of this course are to clarify the billing information on both the professional paper claim form and electronic claim submission and explain which data are situational and which are required by insurance companies.

If you require technical assistance, please email the UBO Learning Center at UBO.LearningCenter@altarum.org.