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  • AAA Revenue Cycle (AAARC) 4: Understanding Insurances & Payer Groups

AAA Revenue Cycle (AAARC) 4: Understanding Insurances & Payer Groups

Provides 1 credit toward the American Ambulance Association Ambulance Revenue Cycle Management Specialist (ARCMS) certificate.

This session uses the Bootcamp’s HAND and ARM metaphor to illustrate payer group differences and responsibilities. Topics include distinctions between uninsured populations, contracts and facility billing (Part A), Medicaid, Medicare/federal/VA billing, commercial payers (ERISA, in-state, out-of-state), and Liability (auto/workers’ compensation). Faculty will also cover the ARMS acronym to explain “four things by payer”:  allowed amounts, regulations, medical necessity definitions, and scheduled transportation issues (dispatching, prior authorization, PCS / CMN forms).

 

Participation satisfies Understanding Insurances & Payer Groups of the AAA Revenue Cycle (AAARC) certificate.


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