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Reading EOB’s, Handling Denials And Filing Appeals

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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.

Topics Covered In This Course

Reading remittance advice
EOBs
ERAs
Data entry of remittance advice
Incorrectly processed claims
Retractions
Noting patient’s files
Denied insurance claims
Reducing denials
Deductibles
Electronic denials
Common reasons for denials and how to deal with them
Timely filing
Pre-existing condition
Services not covered
Adjustments to medical insurance claims
Filing adjustments
Filing appeals
Second level appeal
Keeping track of appeals

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Course Tuition: $129

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Frequently Asked Questions

Can I do medical billing from home?

Some facilities do offer remote billing opportunities.  If you are looking for medical billing as business to start, you can definitely work from home

Do I need to learn medical coding?

While it is necessary to understand coding, it is definitely not necessary to take a comprehensive coding course. Our course in coding offers exactly what a medical biller needs to know without learning complicated coding issues necessary for a person who wants to become a certified medical coder. Our coding course covers ICD-10, CPT, HCPCS, modifiers, place of service codes, E&M coding as well as bundling and unbundling.

What type of support is available?

We offer individualized support from the owners and authors by phone or email.

Do you have a payment plan?

Yes, we do offer a monthly payment plan through PayPal called Bill Me Later. No interest is charged if paid in full within 6 months. PayPal Credit terms apply.

How long does it take to complete the course?

All students will get to work at their own pace, so completion time frames will vary according to each student. An aggressive, committed, and quick learner can complete the course in as little as four weeks (we have seen quicker than four weeks), while the average time frame for a person learning part time will be closer to three months.

How is your course different from other medical billing courses?

Our course is different in a variety of ways, the first being that it was developed and written by the owners of a medical billing service who work daily in their office and are fully aware of all the necessary information required to succeed in this field. Additionally, our FREE support is bar none, meaning our students will have access to a very experienced instructor with several years of experience in medical billing. We also teach the students “practice management’ which is vital to understanding the revenue stream of healthcare providers. Our course will be updated to accommodate a very demanding industry with constant changes.

Why take our courses?

Our courses were written and are updated regularly by a mother/daughter team who started their own medical billing business in 1994 and have not only grown it to multiple locations with many employees but have helped many others do the same.

Testimonials

What our students have to say...

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I have received your book on how to start a medical billing business. Thanks so much! It’s absolutely awesome! It really helped me out quite a bit. The book is exactly what a person needs to help them get acquainted with the beginnings of this type of business. I would be lost without your book. I hope to be signing up a few providers soon!

★★★★★ 5/5
Diana S.

I have purchased five ebooks from Solutions Medical Billing and have found each and every one extremely informative & helpful! These books are easy to read and very practical because of all the insider tips that are invaluable to any medical billing service! I will keep coming back for more!

★★★★★ 5/5
Connie

I enrolled in this training program and found the perfect environment to fit my needs. I could work at my own pace, choosing times that were convenient for me to complete courses. The program content was stimulating, yet easy to understand with a wide variety of hands-on exercises. The instructors were available to provide help “support” during weekdays, evenings, and weekends. This is the perfect program to jump start a career into the Medical Billing profession.

★★★★★ 5/5
Kathleen Stelling

I just purchased two of your e-books about the medical billing business start-up & marketing from your website and the contents are priceless! I hope my business can be as successful as yours. You are also blessed for all the information you share and the time you devote to it.

★★★★★ 5/5
Vivine B.

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