Get a sneak peek into the webinar! Read a preview of the transcript below:
Casey Eastlack (00:01):
Hi everyone, my name is Casey Eastlack.
Ashley Berube (00:04):
And, my name is Ashley Berube.
Casey Eastlack (00:06):
And today we’re going to be talking about codifying the patient journey. But before we start, I have a couple of housekeeping items I wanted cover. So this webinar is being recorded and will be sent out to all registrants. The console is fully customizable so you can kind of drag and drop boxes as you see fit or maximize different windows. We will have a Q&A window, so if you have any questions, feel free to drop them in there. And there will be two survey questions on the console. Please be sure to fill them out before we finish and then we really appreciate your feedback on that. But now, I’ll kind of get started in talking about our webinar.
So in terms of agenda items, we’re first going to talk about types of insurance programs, then we’ll dive deep into the different types of clinical codes. And then we’ll talk about how to find the right clinical code for your use case. Common provider types that are in our data. Examples of reports that we can build based on our claims and our patient data. And then what Definitive has for coverage.
So we’ll first to start out about talking about the different types of US insurance programs. So the first one is Medicare. This is a federal program that’s available to those who are 65-plus, disabled or ESRD, so end stage renal disease. There are four parts to Medicare plus Medigap that’s available, which I’ll cover in a second.
First, we have part A. That is mainly inpatient care, so that covers hospital, sniff care and hospice and [inaudible 00:01:29] care. We also have part B, so that is outpatient, so that covers any durable medical equipment, HHA care. It also covers preventative services like screenings, shots, vaccines, and annual wellness visits.
We also have Medicare Advantage or part C. So this one’s actually offered by private companies. It allows folks to bundle their Medicare plan together so you can bundle your part A, B, and D together for lower cost, in general. It also allows for kind of extra coverage for things like vision, hearing and dental insurance.
And lastly is part D or prescription drug coverage. So this is also run by private insurance companies and it helps cover the costs for prescriptions and can sometimes include vaccinations. And then Medigap, which I talked about earlier, is supplemental insurance that can be purchased to help cover expenses such as copays, co-insurance and deductibles. So the Medicare also has an annual enrollment period, so this year it actually runs from October 15th through December 7th… .