decisionhealth Newsletters, Answer Books - 2008 Issue 5 (May)
Answer_Book / Electronic_Media_Claims / National_EMC_format_established
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Article Overview
This article covers electronic media claims, the national standard EMC format established by CMS, and the general responsibilities carriers have for accepting and processing electronically submitted claims. It is aimed at readers who need a broad understanding of electronic claims transmission methods and the administrative framework surrounding them.
Why This Topic Matters
Understanding the national EMC framework helps practices and billing staff recognize the general requirements for electronic claim submission and carrier response capabilities.
What You Will Learn
- What is meant by an electronic media claim
- How CMS's national standard EMC format is discussed in the context of claims transmission
- What broad carrier functions are associated with electronically submitted claims
- The basic concepts behind telecommunication-based claim transmission
Who Should Read This
- Medical billers
- Coding and reimbursement staff
- Practice administrators
- Revenue cycle teams
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