Basic Claim Assessment for Day-In-Hospital Benefits

Partner: Udemy
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Description: Are you a claims assessor that works with or wishes to work with medical / health related products? Do you want to broaden your knowledge base about or gain insight into medical / health related claims? Specifically how to assess claims that for a benefit that will pay out for every day that the insured client is admitted? This is the course for you!This course is designed to equip you with insight into how to assess and therefore red flag and verify these types of claims and ultimately to prevent the payment of potentially fraudulent claims by learning about: Why effective claims assessment is necessaryThe reasons that fraud is committed Current trends in fraud related to the above mentioned insurance products How to verify diagnosis, treatment and hospitalizationsUsing medical documents as an integral part of the claims processI also provide case studies of actual, real life admissions  I have reviewed and giving expert opinion on as well as investigations I have performed in the past to demonstrate how to use the above knowledge to assess your claims effectively and red flag suspicious claims and potentially form a basis for repudiation or rejection of the claimClaims assessors are the first line of defense against insurance fraud, they are the gate keepers that prevent abuse of insurance products and detect fraud by spotting discrepancies and asking questions. The skill and ability to do this can
Category: Business > Other Business > Insurance Claims
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Price: 19.99
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Source: Impact
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