MedShed Billing Solutions LLC
Private
7 members
$100/month
US Payer Ecosystem: Medicare, Medicaid, Commercial (BCBS, Aetna, Cigna, UHC), HMO/PPO plans, copays, deductibles, COB.
Credentialing: NPI, CAQH, payer contracts, EDI/ERA/EFT setup, re-credentialing.
Front-End RCM: Patient registration, real-time eligibility (270/271), prior authorizations.
Medical Coding: ICD-10-CM, CPT (E/M), HCPCS Level II, modifiers, LCD/NCD medical necessity.
EHR & Clearinghouses: Navigation (Epic, Athenahealth, Kareo), 837P/837I claim scrubbing (Availity, Change Healthcare).
Portals & Payment Posting: Payer DDE, ERA/EOB interpretation, manual/auto payment posting, write-offs.
AR & Denial Management: 30–120+ day aging, CARC/RARC code analysis (CO-16, CO-45), appeal drafting.
Compliance & Career Prep: HIPAA/FWA standards, resume building, mock interviews for AR & Billing roles.
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