For your follow up posts, you may respond to posts about both topics,

Topic 1: As you've learned in this unit, each claim undergoes a process known as adjudication.

For your Main Post: Review the claim adjudication process and answer the following questions:

• What are the steps used to judge how a claim should be paid?
• What takes place during the initial processing of a claim?
• What automated review edits identify?

For your Follow-Up posts, review the posts of at least two of your classmates, and:

• Discuss determination and payment within the claim adjudication process.
• Identify what problems initial processing might discover.
• Explain medical review of the automated process.

Topic 2: As mentioned in the Presentation for Points, practices typically follow some kind of billing cycle to spread out the workload instead of generating all statements at the end of a month.

For your Main Post, review the billing cycle and share information with the class on:

• How cycle billing improves cash flow.
• The advantages of guarantor billing.
• The components shown on a patient statement.

For your Follow Up posts, review the Main Posts of two or more of your classmates, and:

• Describe how guarantor billing reduces the amount of time spent processing statements, and money spent on paper.
• Discuss how guarantor billing supports practice efficiency.
• Identify why guarantor billing is advantageous.