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Introduction to Medical Billing Program

$329.00

Introduction to Health Insurance and the Medical Billing Process

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.

Understanding Coding and Modifiers

Medical billers do not need to know all the information required that a certified medical coder does, but a medical biller does need to understand medical coding. Most medical coding courses or classes are much too detailed for useful information for the medical biller. There is much about medical coding that a medical biller does need to know about a biller’s responsibility regarding coding, when they can change a code to correct a denied claim, and when they can use modifiers.

We don’t try to teach you all the diagnosis and CPT codes. We simply show the student what a medical biller needs to know about these codes, how they can affect the billing process, how to understand them and how to look them up. The student will learn what to do when codes are rejected. Also covered are how modifiers, place of service codes and type of service codes affect the medical claims process and when E & M codes are used. Don’t waste your time and money taking an expensive medical coding course if you want to be a medical biller. “Understanding Coding and Modifiers” is exactly the coding knowledge required of a medical biller.

Reading EOB’s, Handling Denials and Filing Appeals

One of the most important responsibilities of a medical biller is to fully understand the payment process of medical insurance claims. Involved in the payment process is reading and fully understanding remittance notices, knowing how to handle denials and when and how to file effective appeals on denied insurance claims. Now available is a course that handles all these pressing issues and teaches the student how to make sure claims are paid correctly and what to do when they are not paid correctly. Students are taught how to recognize the insurance carrier’s obligation, make sure it is paid correctly and what to do with the remaining balances. This course is a great resource for any medical office to train their billers to insure maximum reimbursement for the services rendered.

Remittance notices vary greatly from insurance carrier to insurance carrier and can be very confusing. Included in the course is a breakdown of all terms used on various remittance notices and how they are applied to the charges so the student can fully understand how the insurance carriers are processing the claims. Reading these remittance notices accurately can hugely impact the providers’ receivables.