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 $200 of Free BONUS Material!
Also includes the latest Medical Billing Terms Dictionary edition.
Medical Billing Fundamentals
$247
$147.00
one-time
Online Medical Billing Fundamentals Course Topics
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