Webinar | COVID-19 Rules and Billing Guidelines

Webinar Replay | Ask the Expert: COVID-19 Rules and Billing Guidelines

During this webinar, nThrive Claims Management subject matter experts discussed their observations from monitoring COVID-19 rules and billing submissions, general billing guidelines, rejections, and denial data. Their interpretation of Optum's smart edits for the Health Resources and Services Administration (HRSA) program, as well as how nThrive is responding to some challenges encountered with this program were also covered.

Topics include:

  • HRSA program challenges.
  • General COVID-19 billing guidelines.
  • Observations nThrive has encountered through processing COVID-19 claims.
  • Changes and updates made to the insurance master.
  • Timely filing for HRSA claims.
  • Claims date of service questions/concerns and how it coincides with Centers for Medicare & Medicaid Services (CMS) coding.
  • When can claims be sent and how?
  • How nThrive is handling Optum "Smart Edit" failures? How should providers handle them?

More information can be found on the Claims Management group page in the nThrive client portal.


Janett Checo

Senior Principal Solutions Expert, Claims Management, nThrive

Janett has more than 35 years of billing experience and has worked across all areas of the revenue cycle including coding, compliance, ANSI and paper claim requirements. She has been with nThrive over 13 years and spent over 10 years of her career dedicated to the build of our Claims Management Edit library and has extensive knowledge of our products and clients.

Prior to joining nThrive, Janett was the Director of Revenue Cycle at HCA for 12 years. She also worked as the Director over Patient Business Services for TX, OK, AR at American Medical Response. In addition to her experience with facilities, she has also managed multi-physician practices and has strong background in the ambulatory space. Janett is a respected expert across the revenue cycle and works closely with CMS and other payors nationwide as an advocate for nThrive client providers.

Explore more Claims and Billing Solutions