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Educational Tools

Self-paced workshops

Self-paced workshops geared toward physician and provider office staff consist of online workshops, system tours and demonstrations. They may be completed online at your convenience, and many offer workshop notes which may be printed for later reference.

Administrative and Billing workshops
Advance Directives Learn about advance directives, legal obligations and Regence standards.

Click here to begin workshop

Workshop notes (PDF)

Appeals and Reconsiderations Information about provider adverse determinations and other appeal types and their processes. Click here to begin workshop
CMS-1500 claim form instructions

Our interactive claim form instructions show fields Regence requires or recommends be completed and the format for completion.

View instructions
Fraud and Abuse Awareness A brochure created by the BlueCross BlueShield Association about identifying and preventing health care fraud. View Guide (PDF)
Guide to Claim Vouchers

The guide identifies key information on our claim vouchers.

View Guide (PDF)
Tools of the Trade

Learn about correct code and clinical edits, and the role they play in your office. Learn:

  • The difference between National Correct Coding Initiative Edits (NCCI) and Correct Code Edits (CCE)
  • How to locate the Regence Coding Toolkit
  • How to access Medicare's NCCI edits
  • How to access Regence Customized and Significant Clinical Edits, including Regence CCE

Click here to begin workshop

Workshop notes (PDF)

Working with Modifiers

Learn about the most commonly used modifiers and how best to use them when billing Regence.
Included in this workshop are:

  • Definitions and application of modifiers
  • How using modifiers could affect reimbursement
  • How to find additional modifier resources

Click here to begin workshop

Workshop notes (PDF)

 

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