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Medical billers act as the financial waypoint between patients, providers, and payers. Without billers, healthcare providers couldn’t be reimbursed for the procedures they perform. The training program covers the all concepts and guidelines that underpin the billing process. You will learn how the insurance process works, and what types of payers affect the reimbursement process. We will discuss Medicare, Medicaid, and the regulations enforced under the Health Insurance Portability and Accountability Act (HIPAA). Review the below course curriculum for further understanding on our training program.
About Medical Billing
The Basics Overview
Gathering Data / Entering Data
Paper Claims
Electronic Claims
Posting Payments
Generating Reports
Billing your clients
Types of Insurance Coverage
Group Health
Individual Policies
Medicare
Medicaid
Personal Injury
Workers Compensation
Tricare
Procedures and Diagnoses
Insurance Claim Processing
Claim Payment
Report Generation
Resources
Study Guide, Examination
Essential Office Forms
Patient Demographics
Completion
Insurance Cards
Insurance Verification Form
Verification Procedures
Superbill
Daysheet
Examining Insurance Cards
Insurance Verification Process
Mock Verification Conversations
Insurance Verification Exercises
The Superbill/Encounter Document
Calculating Copay / deductibles
Resources
Study Guide, Examination
The Basics of CMS 1500
CMS 1500 box breakdown
Step by Step completion instructions
CMS 1500 completion exercises
Billing tips
Common Errors
Resources
Study guide, Examination
CPT Current Procedural Terminology
Definition
Proper Usage
Resources / Reference material
International Classification of Diseases
Definition
Proper Usage
Resources / Reference material
Resources
Study Guide, Examination
Time-line of a claim
Claim Data Collection
Patient Demographics
Guarantor Information / Handling
Insurance Coverage Information
Patient Condition Information
Patient Treatment Information
Clinic Billing Information
Claim Information Data Entry
Claim Submissions
Paper Claims
Electronic Claims
Secondary Claims
Claim Attachments
Receiving / Posting Payments
Full Payment
Partial Payment
Deductible
Resources
Study Guide, Examination
Basic components of billing applications
Clinic Data
Billing Identification Numbers
Guarantor Information Handling
Physician Data
Tax ID, UPIN, License Numbers
Assignment
Patient Data
Demographics Information
Insurance Information
Diagnosis Information
Electronic and paper claims
Reports Generation
Resources
Claim Generation
Charge Entry
Payment Entry
Financial Adjustments
Transactions Notes
Study Guide, Examination
Medical Billing Software
Software Training Workbook
Mock Patient Data Manual
CMS 1500 Forms
Medical Billing Daily Operations
Live Data Entry
Generating Claims
Posting Payments
Running reports
Study guide, Examination
