This course introduces the student to all the basics of medical insurance billing and practice management. We cover all the different types of health insurance, who is eligible to receive it, how it is obtained and how the medical claims process works. Managed care, as well as Medicare, Medicaid and commercial insurances, are explained. We show how physician credentialing, whether the provider participates or not with an insurance carrier, affects the billing process. Also addressed are the CAQH credentialing system, NPI numbers and taxonomy codes. Included is a full unit on career opportunities in the field of medical billing.
Hi Alice and Michele,I just finished your newest book titled “Pricing Your Medical Billing Service”. Your book is very timely with all the debate about the best (or legal) way to charge for your medical billing services. Despite owning a medical billing business for over 18 years, I still wrestle with charging our doctors on a percentage basis (which is how most of our accounts are set up) VS a fixed monthly fee. You make a compelling case for choosing the latter. Pricing Your Medical Billing Service is a great resource for a new billing service or anyone who is struggling between the different billing options, especially those who have clients in the states that you mention who do not allow percentage billing.
★★★★★ 5/5