Assessing medical claims related to the digestive system

Assessing medical claims related to the digestive system

Are you a claims assessor that works with medical / health related products?

Do you want to broaden your knowledge base about or gain insight into medical / health related claims?

Specifically those that are related to conditions affecting the digestive system?

This is the course for you!

This course is designed to equip you with insight into how to red flag and therefore identify potentially fraudulent claims for conditions related to the digestive system by learning about:

• The anatomy of the digestive system

• The function of the organs of the digestive system

• How conditions of the digestive system are diagnosed, treated and managed

• Other factors that affect the decision to admit a patient

• How to red flag claims for admissions related to conditions of the digestive system

  
  

I also provide case studies of actual, real life admissions I have reviewed and giving expert opinion on in the past to demonstrate how to use the above knowledge to red flag suspicious claims and potentially form a basis for repudiation or rejection of the claim

Claims 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 this can be learned as your deepened your insight into the human body, its functions, pathology and treatment of pathology.

This will help you in your career and build your confidence as a medical claims assessor and allow you to stand out among your peers.

Overview of the diagnoses and treatment of digestive system conditions for effective red flagging

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What you will learn

• Medical insurance claims assessment
• Anatomy of the digestive system
• Functions of the digestive system

Rating: 0

Level: Beginner Level

Duration: 44 mins

Instructor: Linda van der Westhuizen