What is Overpayment, Offset Adjustment, Reversal & Refund in US Healhcare - Chapter 46

[@zeya3078]

Thank u so much your back after 6months

[@SantoshPantCPC]

Most welcome 😊

[@SUNILKUMAR-nl5up]

hello santosh sir, its being a very good journey with you. almost all the videos i have seen and learned lots of things from you and its amazing. i just wanted to say u one more thing, if it is possible to do a practical examples its help a lots. thanks and god bless u to keep moving on.

[@sadhanapandey1391]

Hello Santosh Sir, first of all thank you so much for videos, its help alot to learn. The way u explain the things are so easy to understand. I am working on Wc and auto. Its a kind request to pls creat a video for liability claims, which cover all the terminology and denials. It will be a great help.

[@user-ux3tz1te9x]

Natmastak naman hai sir aapko ❤

[@balramsaxena423]

Great job

[@cornerkicks-football5117]

Good to see here again after a long time.

[@IqraTabassam-y4x]

Great!!

[@mohdafzal3586]

Thanks for better understand Reversal and offset adjustment

[@ashokbhandari9450]

Good information ❤

[@Twin584]

What are the scenarios for credit balance

[@gaminghill3252]

Please make video on reconciliation batch or reconcile

[@ManojKumar-zr4yp]

Thank you so much much awaiteed video , pls make more videos it helps a lot

[@vinay2448]

i have joined your channel just yesterday to understand the US health care system to help my doughter she is persuing RCM practices with Neolytix as Management Trainee ... really use ful and very infoamtive videos ,, can we have PPT of the same for referal of her studies ....could be pass word protected for copy rights perspective ......regards

[@riteshpandey4617]

Thanking you so much very long time waiting. Santosh sir.

[@Abhishekkvvlogs]

Very informative video sir ❣️

[@pushkaranand9525]

Deeply thankful for you...

[@saraswathigangotri7884]

Thanku so much 🙏

[@mohitbandooni129]

☀️

[@bhatthiren5315]

Sir how to reverse insurance payment in office ally?

[@GARHWALI-RAJPUT]

CPC certification kahan se Kare.

[@akashnegi6818]

Currently working on retraction and the cases you missed are no auth, provider audit, paid at incorrect reimbursement,level of care audit, Drg and smrc audit, provider audit etc

[@RohitKumar-ve4io]

Thanks a lot sir for another fabulous information video,. Please make video on Pricing...!!

[@rajbirsingh8619]

Pls make a video on subrogation deduction, and what is patient summary form, what is medical necessity review form, and abn, also waiver of liability

[@Ambica_Jadav]

Can u explain what is coverage determination with animated example

[@syedtanveer2917]

Hi

[@himanikalakoti2924]

Thank you for your extended help on US healthcare insurance....plz make a video on primary, secondary and tertiary insurance

[@loke2291swami]

Sir, what is Denial of OA23, Its actually denial or not,

[@akashnegi6818]

Claim not covered by payer.

[@nanaklekh]

Appreciate your help and support sir🙏

[@GARHWALI-RAJPUT]

Please make video AR CALLER

[@animal.heritage]

Credit Balance Profile Me Kya Questions Puche Jate Hai?

[@7465Prince_]

Hello sir, please make a descriptive video for CO-45

[@nehashinde3777]

Sir job vaccancy kaha pe hogi ya fir hum job kaise dhudhe iske uper bhi video banalo plz..

[@ShortPC_official]

How to adjust a claim please. I love your work btw

[@vimalsharma3601]

Is duplicate billing may be the reason for overpayment?

[@akashnegi6818]

Yes. If insurance does that they will send you a correspondence letter regarding the information

[@BrijeshKumar-js3cq]

Please make a video on type of bill TOB

[@VikasHaryanvi]

Please make video on NDC, AOB, ROI and HCFA also

[@lakshman1sharma]

Santosh sir Allowed amount, and EOB ke bare me to batao

[@pahadanpallvi9370]

Plz interest payment ke bare me topic bnaye

[@Ambica_Jadav]

Please make videon billing and enrollment process

[@akshayrk814]

Thank you sir

[@hadijaved7089]

provider contract khatam ho jata hai or bad insurance ko payse wapis refund kar leti hai k pehle provider contract renew karwaye

[@shivanand321]

Sir, which one is better cash posting or AR?

[@SantoshPantCPC]

depends on your skillset

[@Faisal_Butt1032]

Sir kuch ase scenario b hote han jin mein insurance after two years and one year payment recouped kr k denial de deti han tab kya kiya jaye because patient ko b transfer krny se kuch ni milny wala toh insurance se kese fight ki jaye itna late recoup krny pr

[@SantoshPantCPC]

can't do anything

[@akashnegi6818]

Mostly this happens in RAC audit and smrc and both are done by third party vendor and they are always right so you have to send the money back

[@sarveshshrivastav6520]

Can you make video for " HRA Payment" or Attorney Payment"

[@virendradutt2318]

Recoupment ka ek vidio banaiye sir

[@singingfans8766]

Please make video of NDC Code and LDC, ICD guidline

[@SantoshPantCPC]

NDC done, rest are already there

[@narinderchauhan1129]

Sir , overpayment and underpaid ko find krne ke liye formula lagta hai kya ap uss formula ko bta skte ho

[@shesheoli]

No formula,it is determined by fee schedule rate.

[@madhurimehto8828]

Hello sir,i really like your videos it helps me alot but sir mujhe EOB samjhna hai

[@priyankavalekar248]

Is there any work from home job for 2 years experience in medical billing process

[@tanusrikashyap146]

Hi sir what is Wo payment Fb payment?

[@akashnegi6818]

Wo means overpayment recovery And FB means Forwarding Balance.

[@tanusrikashyap146]

@@akashnegi6818 I know but ye h kya aata kyu h Wo or fb payment

[@akashnegi6818]

@@tanusrikashyap146 jab insurance galti se pay kardeta hai toh unki third party audit karti hai then they take back the payment and send a letter saying that they will recoup or offset the money in future voh take payment ko hi wo bolte hai.

[@atulkmishra6005]

Sir please make a vedio on bundled and inclusive please this is my humble request to you

[@SanjeevKumar-ev1dl]

Hello sir I want to know how to get class of Medical Coding please give me reply on this Thanks

[@rajeshcherupally1136]

Tell about l6

[@rathankumarmothukoori1709]

I want to write cpma certification pls guide me

[@sumitgautam1642]

sir indexion per full video banao

[@Manishgupta-bq3tn]

Hello Santosh Ji, your previous videos were very helpful....was waiting for this one for a long time....Is there a possibility to contact you to learn more???

[@SantoshPantCPC]

I do youtube part-time for education, I am not able to provide full time training.

[@Manishgupta-bq3tn]

@@SantoshPantCPC in that case could you please guide what one should do after watching all your videos I mean what certification exams to appear for and how to do it?? Also please tell how many more videos are remaing?? What books to read and is this a good career to work from home?? Thanks a lot in advance...

[@apekshassprichualgoodlifes8016]

​@@SantoshPantCPCsr pz help me job field

[@SantoshPantCPC]

@@apekshassprichualgoodlifes8016 pls try to find a fresher job in your city as medical biller

[@luqmankhan9283]

Sir Revenue cycle management py vidio banaoo pllz

[@khaliqcreations_6]

Sir i got offer as a credit balance role is it good in future.if it possible please make a video

[@M.HanifK]

Retro-Termination

[@TusharKumar-or3vb]

Making more videos sir

[@SantoshPantCPC]

sure

[@TIWN292]

Sir Why it is taking too much time for new vedio .

[@cutebaby-mk2fx]

Duplicate payment, incorrect benefits level,internal COB , multiple surgery reduction reasons, pre-existing conditions, exceeded maximum benefit level like in therapy visit, policy runout expired,unbundled service like global days, paid incorrect provider totally wrong TIN, paid wrong provider -correct tin but wrong suffix and many more

[@SanjeevKumar-ev1dl]

Sir ji make us new video

[@khankashif2361]

Hello sir please make video on OA PR CO like ,OA23 OA96 PR96

[@vimalsharma3601]

OA: other adjustment CO: contractual obligation PR: patient responsibility CR: correction & reversal PI: payer initiated reduction

[@nikhilnegi7917]

We pay PR96 as a primary.

[@Faisal_Butt1032]

OA23 explain krta ha k primary payer ne seconday payer k allowable amount se zyda pay kr diya ha example: MCD ka dual benefit plan us mein same payer as a MCR advantage plan and MCD as a HMO plan process krta ha primary and secondary accordingly then secondary payer ye code use krta ha hum is mein patient ko balance send ni krty discount krty han due to Primary paid max..

[@Faisal_Butt1032]

PR96 non covered ko explain krta ha means patient ka plan concerning diesese ko cover ni krta ya may be provider out of network ho tb b ye denial ata ha jo k patient responsibility hoti ha

[@Happy-123-happy]

Can you please explain in english

[@luckyvlogsDD]

duplicate payment,

[@shitalpandya2082]

Sir please share your number need more guidence for medical coder

[@umeshjaiswal6032]

Duplicate posting

[@shubhamchikane2653]

Please make a video on WO payment