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Option #1: Medicare Claims – Paper Choose a healthcare provider or facility (hospital, clinic, physician, home health, or LTC/SNF) and review the Medicare Claims Processing Manual (Links to an external site.) for your chosen selection. In your paper you will review, analyze, and discuss the following details: Type of provider and example of service provided. General guidelines for submitting a claim. Claim submission formatting (paper or electronic) and form number. Specific coding requirements. Claim type and reimbursement arrangement. Denial and appeals process. * CMS.gov. Medicare Claims Processing Manual. https://www.cms.gov/regulations-and-guidance/guidance/manuals/internet-only-manuals-ioms-items/cms018912
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