Learning Resources

Topic outline

• Catalog
  
  

  Catalog

  

  All learning content, organized by category type (e.g. videos).
• Live Workshops and Online Courses
  
  

  Live Workshops and Online Courses

   Courses that require registration

  • Community Long Term Care (CLTC) Training URL
  • Live Workshop Registration URL
  • Medicaid Basics & Beyond URL
  • Presumptive Eligibility Online Training URL
  • Web Tool URL
• Medicaid Basics & Beyond
  
  

  Medicaid Basics & Beyond

  Topic-grouped learning resources

  • Introduction Page
  • Managed Care Approach Page
  • Eligibility Page
  • Claim Filing Page
  • Remittance Package Page
  • Third-Party Liability Page
  • Adjustments Page
  • Resources Page
• The Web Tool
  
  

  The Web Tool

  Demonstration videos for key Web Tool tasks

  • The Web Tool Page
  • Getting Started (1) (Web Tool) File
  • Customize Your Web Tool (2) (Web Tool) File
  • Check Eligibility (3) (Web Tool) File
  • Enter a Claim (4) (Web Tool) File
  • Submit a Claim (5) (Web Tool) File
  • Revisit, Re-use, and Remit (6) (Web Tool) File
  • Claims Attachments (Web Tool) File
  • Convert ICD-9 Claims to ICD-10 (Web Tool) File
• The Visual Medicaid Basic Books
  
  

  The Visual Medicaid Basic Books

  Illustrated Medicaid concepts in PDF documents by topic

  • Introduction (Visual Book) File
  • Managed Care (Visual Book) File
  • Eligibility (Visual Book) File
  • Claim Filing Options (Visual Book) File
  • Remittance Package (Visual Book) File
  • Third-Party Liability (Visual Book) File
  • Adjustments (Visual Book) File
  • Resources (Visual Book) File
• Videos
  
  

  Videos

  Video-style treatments of Medicaid topics

  • Claim Reconsideration (video) File
  • Credit Balance Reporting (video) File
  • Health Insurance Premium Payment (HIPP) (video) File
  • Online Enrollment Application Introduction Video (1 minute) (video) File
  • Provider Revalidation (video) File
  • Resolving Claim Denials (video) File
  • TPL Calculation (video) File
  • What's at a Workshop? (video) File
  • What to Expect from a Site Visit (video) File
• Rollover Forms
  
  

  Rollover Forms

  Field descriptions and instructions with filled-in form examples.

  • CMS-1500 Professional Claim (version 02/12) (Rollover Form) File
  • CRCF-01 (Rollover Form) File
  • Form 130 (Adjustments) (Rollover Form) File
  • Form 181 (Rollover Form) File
  • Form 205 (Medicaid Refunds) (Rollover Form) File
  • Health Insurance Information Referral Form (HIIRF) (Rollover Form) File
  • Reasonable Effort Documentation Form (Rollover Form) File
  • UB-04 Institutional Claim (Rollover Form) File
• Podcasts
  
  

  Podcasts

  Theme-based audio briefings

  • A Patient Comes In With Managed Care (podcast) Page
  • Script for podcast - A Patient Comes In With Managed Care Page
  • Claims Filing Best Practices (podcast) Page
  • Script for podcast - Claims Filing Best Practices Page
  • Does Medicaid Pay Before Or After? (podcast) Page
  • Script for podcast - Does Medicaid Pay Before or After? Page
  • How to Get Third Party Payers to Pay (podcast) Page
  • Script for podcast - How to Get Third-Party Payers to Pay Page
  • The Importance of Patient Responsibility (podcast) Page
  • Script for podcast - The Importance of Patient Responsibility Page
• Learning Games
  
  

  Learning Games

  Roles plays and scenarios

  • Making Your Claims Process Perfectly (Learning Games) SCORM package
  • HIPP Eligibility Calculator Page
  • TPL Calculator File
• Frequently Addressed Edit Codes
  
  

  Frequently Addressed Edit Codes

  Frequently Addressed Edit Codes, Healthy Connections Medicaid, South Carolina

  • Frequently Addressed Edit Codes Menu Page
  • Edit 150 Page
  • CMS-1500, edit 150 graphic File
  • UB claim, edit 150 graphic File
  • Web Tool Eligibility screen with TPL carrier code File
  • Edit 953 Page
  • CMS-1500, edit 953 graphic File
  • UB claim, edit 953 graphic File
  • Edit 989 Page
  • Edit 990 Page
  • Appendix 1 Resolution Steps Page
  • Edit 690 Page
  • Edit 510 Page
  • Edit 852 Page
  • Edit 713 Page
  • Edit 717 Page
• FAQs, Terminology, and Other Documents
  
  

  FAQs, Terminology, and Other Documents

  • Acronyms Glossary
  • Claims Attachments - Web Tool Reference Guide File
  • CMS-1500 Addendum File
  • CMS-1500 Claim Form (version 02/12) Completion Guide File
  • Fact Sheet - MIVS Credit Balance Reporting File
  • Frequently Asked Questions Glossary
  • Glossary
  • Online Enrollment Application Visual Guide File
  • Online Training Page
  • Provider Revalidation Process - FAQs File
  • Provider Screening Requirements FAQ Guide File
  • Purge Alert File
  • Quick Contact List File
  • South Carolina Medicaid EHR Incentive Program Page
  • South Carolina Medicaid EHR Incentive Program (PDF) File
  • South Carolina Medicaid EHR Incentive Program (Program Brochure) (PDF) File
  • UB-04 Addendum File
  • UB-04 Completion Guide - Hospital File
  • UB-04 Completion Guide - Psychiatric File
  • Web Tool Quick Reference Guide File
  • Web Tool User Guide (full) File