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ERA Claim Adjustment Reason Code Mapping

Electronic (digital download/no shipping)

Members - $49.00
Premium Members - $0.00
Non-Members - $199.00


This webinar will describe the different types of adjustment reason and remark codes that are available to be used in the 5010 835, and the process used by a payer for mapping their internal or proprietary codes to the required standard codes. The webinar will also include, from a providerís perspective, how to interpret / utilize in their workflow the codes received from various payers. It will also describe the sources for the codes and maintenance process, operating rules that impact use of the codes. Panel Pam Grosze, PNC Bank Pam Grosze is Vice President and Senior Product Manager for PNC Bankís Healthcare Division, and has more than 25 yearsí experience in the Healthcare industry. Pam also plays a leading role in industry organizations as co-chair of ASC X12ís Payments Workgroup (835), Board member for WEDI, co-chair of WEDIís Data Exchange workgroup, and co-chair of WEDIís Remittance Advice and Payments subworkgroup. Pam is also the X12 liaison for The Cooperative Exchange. Deb Strickland, Conduent Debra Strickland is with Conduentís National Standards Consulting Team, Government Healthcare where she works with clients, customers and those in need of Conduentís services such as Compliance services and healthcare solutions. A former co-chair of the ASC X12 Payments Workgroup, she has now moved to the Program management office and continues to be a driving force in the development and maintenance of the X12 transactions. Currently, she is on the WEDI board of directors, and is co-chair of the WEDI Remittance and Payment Work Group. Debra also serves as Vice Chair of the Code Committee which maintains codes such as Claim Adjustment Reason Codes (CARC), Claim Status Codes (CSC), Claim Status Category codes etc. Debra also fills the role of Educational Chair for the Cooperative exchange. Omni Adekanmbi, CAQH CORE Omoniyi Adekanmbi is a Manager for the CAQH Committee on Operating Rules for Information Exchange (CORE). Omoniyi oversees the CORE rule development process, including maintenance of the CORE Code Combinations, manages the CORE Information Request Process and supports COREís industry education and outreach. Before joining CAQH CORE, Omoniyi served as Health Policy Intern at the National Consumer Voice for Quality Long-Term Care. Omoniyi comes to healthcare from a prior career in research and evaluation.

Product Details:

Product ID: WEB-306
Publication Year: 2017