Samaritan Health Plan Operations

Training and Education

Learning on your own

• Billing Procedures for Medicare Skilled Nursing Facilities (SNFs) - Introduction to Using TOB’s 021X, 022X and 023X for Therapy Services
• CMS-1500 Claim Form
• UB-04 Claim Form
• CMS Payment Model for Medicare Plans

Handy references

• CMS payment model
• CMS-HCC payment model principles
• What is risk adjustment?
• ICD9HCC with descriptions hidden
• Internal Audit – Chart Reviews 
• Guidelines for medical record documentation

Requesting training

• Training request form

P R O V I D E R   N E W S

July, 2009: Coding corner
May, 2009: Coding corner
March, 2009: Coding corner