This course is designed to take you from knowing nothing about insurance, to being able to bill your own claims for doula services.
Check out the full details of the curriculum below, but here are the...
Learning Objectives:
- Understand the categories of potential payors
- Explain the current overview of doula coverage by Medicaid, private insurance, health shares, and medical savings accounts
- Learn common requirements for credentialing as a doula
- Discover how to find out if an insurance policy covers doulas
- Understand ICD-10, CPT, and POS codes
- Demonstrate how to file doula claims using a CMS-1500
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Jesica Dolin Gutierrez
Instructor Bio:
Course curriculum
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01
Welcome!
Show details- Introduction and Overview
- PDF: Glossary Of Insurance Definitions
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02
Doula Coverage By Insurance and Other Payors
Show details- Overview of Potential Payors
- PDF: Primary and Secondary Coverage Chart
- Doula Coverage by Insurance and Other Payors
- Resources
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03
Credentialing Requirements
Show details- Credentialing Overview and Malpractice Pros and Cons
- NPIs
- National Plan and Provider Enumeration System Walkthrough
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04
Coverage Verification and Claim Submission
Show details- Verifying Insurance Benefits
- Coding and Claim Submission
- All About the CMS-1500
- How to Complete a CMS-1500
- Red CMS-1500 Form (HCFA)
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05
Medicaid Resources
Show details- Florida: Aetna Better Health of Florida
- Florida: Humana Healthy Horizons
- Florida: Simply Healthcare
- Maryland
- Minnesota
- Maryland PT 37-22 Coverage of Doula Services for Healthchoice and Medicaid Fee-for-Service Enrollees
- Nevada Medicaid
- New Jersey: Steps for Doulas to Enroll
- New Jersey: FamilyCare
- New Jersey: Horizon NJ Health
- NJ Medicaid Claims
- Oregon Medicaid (OHP) Doula Rates April 2023
- Oregon Medicaid (OHP) Fee-for-Service reimbursement for Community Health Workers
- Oregon Health Plan Claim Submission
- Rhode Island Families Deserve Doulas Certification FAQ
- Rhode Island: Doula Requirements
- Rhode Island: Public Notice of Proposed Amendment - Contains Fee Schedule
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06
TriCare Resources
Show details- Tricare
- Tricare West
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07
Private Insurance Resources
Show details- Rhode Island (Private) Health Insurance Coverage Guide
- UCare Doula Payment Policy
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08
Using a Professional Billing Service
Show details- Questions To Ask Professional Billers
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09
Course Evaluation
Show details- Evaluation Questions
Billing for Doulas
Instant unlimited on-demand access
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$80.00
Regular price (USD)