Medical Billing Fundamentals

Below is the outline of all the topics covered in the Fundamentals of Medical Billing course

Each of the topics includes a video explaining the particular topic along with a PDF copy of the material. Additionally approximately 35 essential forms are included as listed below.

Includes over $78 of Free BONUS Material!

Also includes the latest Medical Billing Terms Dictionary edition.

More Fundamentals of Medical Billing Course Info Here



Health Insurance Plans

  • Insurance Types & Payers
  • Indemnity, Managed Care, & Consumer Plans
  • Referrals & Preauthorizations
  • Medicare & Government Payers
  • Medicare Administrative Contractors
  • Crossover Claims
  • Insurance Verification
  • Coordination of Benefits
  • Provider Credentialing

Medical Coding Basics

  • ICD-10 Diagnosis Codes and Format
  • Medical Treatment Codes
  • Coding Modifiers
  • Level I & II Codes
  • Categories of Codes
  • Practice management Code Entry
  • Medical Coding Errors
  • Bundled & Unbundled Codes
  • Upcoding & Downcoding
  • Coding Specificity
  • Medical Necessity
  • Coding Resources
  • Coding in Practice Management Software Video

Patient & Provider Info

  • Who What Where Why & When
  • Before Claims Can Be Filed
  • Setting up the Provider
  • Credentialing and Clearinghouse Enrollment
  • Provider Fee Schedule
  • The Superbill
  • Customizing the Superbill
  • Setting up the Patient
  • Verifying Insurance
  • Minimum Patient Info
  • First Visit Patient Forms

CMS-1500 Claim Form

  • Introduction
  • Block-By-Block Description
  • When Paper Forms are Used
  • Electronic Claim conventions
  • Patient & Insured Info
  • Physician Info
  • Electronic CMS-1500 Video Demonstration

Creating & Submitting Claims

  • Claim Standards
  • Entering Patient Encounter
  • Creating Claims
  • Uploading Claims to the Clearinghouse
  • Clearinghouse Claim Status
  • Correcting Rejected Claims
  • Claim Attachments

Applying Payments

  • ERA's & EOB's
  • CoPay's, Coinsurance, & Deductibles
  • Interpreting Remittance Advice and EOB's
  • Explanation or Reason Codes
  • Posting Insurance Payments
  • Applying Insurance Payments
  • Posting Patient Payments
  • Secondary Claims
  • Auto Posting ERA's
  • Creating Patient Statements

Claim Problems & Patient Collections

  • Why Claims Don't Get Paid
  • Coding Error's
  • Error Codes
  • Claim Appeals
  • Patient Collections
  • Insurance Aging Reports
  • Patient Aging Reports
  • Tracking Unpaid Claims

Compliance, Fraud, & Patient Privacy

  • HIPAA & HITECH Laws
  • Administrative Simplification
  • Physical, Administrative, & Technical Safeguards
  • Business Associates & Covered Entity's
  • Fraud & Abuse - What's the Difference?
  • Punishment for Non-Compliance
  • Examples of Fraud & Abuse
  • Patient Consent
  • HIPAA Disclosure
  • Good Office Practices
  • Remote Access
  • Communicating Patient Information

Practice Management Software

  • Choosing a Software
  • Software Platforms
  • Cloud Providers
  • Back-Up of Data
  • Electronic Medical Records Integration
  • Basic Features (Video demo)
  • Basic Clearinghouse Features (Video demo)

***BONUS MATERIAL***

Dental Billing

  • Dental Terminology
  • Insurance
  • Dental Procedure Codes
  • Software
  • Helpful Coding Resources
  • ADA J430D Dental Claim Form
  • Medical Necessity
  • CMS-1500 Special Instructions

Hospital Billing

  • Differences from Physician Billing
  • Hospital Services
  • Hospital & Facility Coding
  • Unique Claim Codes
  • Charge Master
  • Reimbursement Process
  • Prospective Payment Systems
  • UB-04 Claim Form (CMS-1450) By Sections

Essential Medical Billing Forms

Below are all of the forms included (MS Word or Excel format) in the Fundamentals Course:

  • Patient Sign In Sheet 1
  • Patient Sign In Sheet 2
  • Patient Sign In Sheet 3
  • Daily Appointment Log
  • Copay Sign
  • Phone Consultation Form
  • Physician Referral Form 1
  • Physician Referral Form 2
  • Patient Responsibility Insurance Sign
  • Return To Work Form
  • Superbill Template
  • HIPAA Checklist
  • Insurance Preauthorization Reques
  • New Patient Form
  • Medication History
  • Medical History
  • Insurance Verification Form
  • Privacy Practices Acknowledgement
  • Patient Information Form
  • Health Information Release Authorization
  • Payment Policy
  • HIPAA Disclosure
  • Office Forms Tracker
  • CMS-1500 Claim Form
  • CMS-1500 Claim Form Instruction Manual
  • Payment Log
  • Appeal Letter Template
  • Sample Collection Letter
  • Claim Tracking Log
  • Acknowledgement of Receipt of Privacy Policy
  • HIPAA Violation Complaint Form
  • Practice Management Software Comparison


More Fundamentals of Medical Billing Course Info



<< Back To Introduction to Medical Billing Page



Recent Articles

  1. Dental Billing

    Jul 12, 17 08:25 AM

    I have been a dental hygienist for 6 years and I am ready to start my own business. I have decided I do not want to drift far from the world of dentistry

    Read More

  2. Qualifications

    Jul 12, 17 08:24 AM

    I have a background that is not a good background. My question: Are background checks done? If so, what are they looking for? Is it up to the hiring

    Read More

  3. What is an exact role name for medical billing specialist??

    Jul 12, 17 08:19 AM

    In gulf countries they can't understand what medical billing is, where lots of billing jobs available but I need what exact role name of it to apply job

    Read More

Disclaimer and Privacy

All-Things-Medical-Billing.com provides this website as a service. Please read our full Disclaimer and Privacy Policy here.


Copyright 2017 All-Things-Medical-Billing.com