RPMS Third Party Billing Accounts Receivable Training

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					                                  Indian Health Service
                            Office of Information Technology

               RPMS Third Party Billing & Accounts Receivable Training
                                 Advanced Agenda

                                            Day 1
8:30 am – 9:00 am    Introductions/Objectives/Review of Agenda/User Manuals/Sign In
                     Sheets/Evaluation Forms

9:00 am – 10:15 am  RPMS Third Party Billing (ABM) – OVERVIEW
                       Table Maintenance
                             o Maintaining the System
                                     Site Parameters
                                     Insurer File
                                     Coverage Type File
                                     Fee Tables
                                             Uploading a fee table
                                     Provider File Entries
                                             HIPAA Taxonomy Codes
                                             Provider Numbers
                                     Form Locator Override
                             o OIT Updates
                                     ABM Updates
                                     CPT/ICD Updates
                       Claim Generator Overview
                             o Role of the Task Manager (TaskMan)
                             o Issues
                       Claim/Bill Management Functions
                             o Back billing Checks
10:15 am – 10:30 am BREAK

10:30 am – 11:45 am RPMS Third Party Billing (ABM) – OVERVIEW - Continued

11:45 am – 1:00 pm LUNCH

1:00 pm – 2:45 pm    HIPAA and RPMS
                         Third Party Billing
                              o 837 ANSI 4010 Transactions
                              o Reading the 837
                              o Error Reports
                                      997
2:45 pm – 3:00 pm    BREAK

3:00 pm – 4:45 pm    HIPAA and RPMS – Continued
                         Exercise

4:45 pm              DISMISSED

                                            1
                                          Day 2

8:30 am – 9:00 am    Introductions/Objectives/Review of Agenda/User Manuals/Sign In
                     Sheets/Evaluation Forms

9:00 am – 10:15 am   RPMS Patient Registration (AG)
                        Social Security Upload
                              o Process
                              o Reports
                        CMS Eligibility Upload
                              o Process
                              o Reports

10:15 am – 10:30 am BREAK

10:30 am – 11:45 am RPMS Patient Registration (AG)
                       Error Reports
                             o Audit function
                             o Printing
                             o Clean-Up

11:45 am – 1:00 pm LUNCH

1:00 pm – 4:45 pm    RPMS Accounts Receivable (BAR)
                        Manager Functions
                             o Maintaining the system
                             o Site Parameters
                             o Collection Batch Entry
                             o Security Codes
                             o A/R Account files
                             o A/R Synch Report
                        Claim versus Bills




                                            2
                                          Day 3

8:30 am – 9:00 am    Introductions/Objectives/Review of Agenda/User Manuals/Sign In
                     Sheets/Evaluation Forms

9:00 am – 10:15 am   RPMS Reports
                        Interpretation
                             o “Do these numbers look right?”
                        VGEN/PGEN Reports

10:15 am – 10:30 am BREAK

10:30 am – 11:45 am Running Reports
                        Third Party Billing
                        Accounts Receivable
                        Patient Registration

11:45 am – 1:00 pm LUNCH

1:00 pm – 2:45 pm    VA FileMan
                        File Structure
                        FileMan Fields
                        Reports Generator

2:45 pm – 3:00 pm    BREAK

3:00 pm – 4:45 pm    VA FileMan – Continued

4:45 pm              DISMISSED




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