Introduction to Medical Billing

Medical Billing 101

Below are the links to each topic of our introduction to medical billing lesson. This is an abbreviated summary of our more extensive Fundamentals of Medical Billing Course in which we cover these topics in much more detail as well as provide a hard-copy of each topic along with the all the essential forms.

Each of the topics below includes a short video explaining the particular topic.

A detailed outline of the complete Medical Billing Fundamentals Course can be found here.


  • What is Medical Billing
  • Coding versus Billing
  • Jack of All Trades - Typical Tasks & Responsibilities
  • The Payment Process

Terminology & Acronyms

  • Commonly Used Medical Billing Terms
  • Acronyms
  • Abbreviations

Health Insurance Plans

  • Insurance Types
  • Insurance Payers
  • Medicare & Government Payers
  • Insurance Verification
  • Credentialing
  • Patient Responsibilities

Provider & Patient Setup 

  • Before Sending a Claim
  • Practice Management Software
  • CMS-1500 Form
  • Other Important Forms
  • Patient Insurance Information

Introduction to Medical Coding

  • Why We Use Codes
  • Medical Diagnosis Codes
  • Medical Treatment Codes
  • Where Codes are Used

Creating & Submitting Claims

  • Creating Claims
  • Using a Claim Clearinghouse
  • Claim Hurdles
  • Claim Attachments

Fraud, Abuse, & Privacy

  • Health Insurance Portability & Accountability Act (HIPAA)
  • Privacy & Security Standards
  • Protecting Patient Information
  • Working Remotely
  • Fraud & Abuse
  • Examples of Fraud & Abuse
  • Consequences

Resolving Claim Problems

  • Multiple Claim Checks
  • Why Claims are Not Paid
  • Reason Codes & Insurance Adjustments
  • Common Reasons for Claim Denial
  • When Errors are Detected
  • Appealing a Claim

Posting & Applying Payments

  • Posting Insurance Payments
  • ERA's & EOB's
  • Patient Statements
  • Patient Collections
  • Aging Reports

Career Options in Medical Billing

  • Medical Billing Certification
  • CMRS Exam
  • AAPC Billing Certification
  • Where the Jobs Are
  • Getting a Job With No Experience
  • Starting a Business From Home

Click here for a detailed outline of the Medical Billing Fundamentals Course.

Recent Articles

  1. Is it possible to work in Medical Billing or Coding at night instead of during the day?

    Oct 23, 17 09:16 PM

    How common is it that a company would allow you to work from home as well as working at night so you can be with your children during the day? I'm an

    Read More

  2. Should I get my medical billing certificate from AAPC or somewhere else before I start my own business?

    Oct 23, 17 09:15 PM

    Hi! I am contemplating starting my own medical billing business and I was wondering if I should get my medical billing certificate from AAPC or some other

    Read More

  3. What is the CPT code for 'Male Hormone Panel'

    Oct 23, 17 08:57 PM

    What is the CPT code for 'Male Hormone Panel' ...testosterone/estrogen/PSA/IGF- 1 /DHEA -Sulfate/ Progesterone Response: We'll post in hopes our Visitors

    Read More

Disclaimer and Privacy provides this website as a service. Please read our full Disclaimer and Privacy Policy here.

Copyright 2017