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Medical Billing Online Course | Revenue Cycle Management by Udemy
Learn Medical Billing Concepts, Charge Entry, Payment Posting, Denial Analysis, Accounts Receivable, AR Days, Follow-up
Course Highlights
- Medical Billing Concepts, Job Opportunities in Medical Billing
- Parties Involved in Medical Billing
- Medical Billing Cycle
- Types of Insurances, Types of Health Insurance Plans, CMS1500, UB04
- Charge Entry, Payment Posting, Revenue Cycle Management, Accounts Receivable,
- Denial Analysis, Working on Unpaid Claims
- 16 Insurance Calling Scenarios
Skills you will learn!
Curriculum
2 Topics
Healthcare in the US | Job Opportunities | Parties Involved in Medical Billing
Job Roles and Duties of Medical Biller
2 Topics
Medical Billing Cycle
10 Most Important Concepts
3 Topics
Definition and Basic Concepts of Health Insurance
Types of Insurances
Types of Health Insurance Plans
1 Topic
Front Desk's Job
1 Topic
Insurance Verification (Traditional and Smart Method)
1 Topic
Demographic Entry
4 Topics
Super Bills & Charge Entry
CMS 1500 Form
UB04 Claim Form
EOB & Payment Posting
1 Topic
RCM Introduction & Steps involved in RCM
1 Topic
Basic Knowledge Required to Become an Expert in RCM
2 Topics
Accounts Receivable (A/R)
How to bring the AR days under control?
3 Topics
Denial Analysis
Top 20 Denials and How to Fix them | (Denial number 1 to 8)
Top 20 denials (Denial number 9 to 20)
4 Topics
Unpaid claim Analysis & Claim Status Look up Methods
Other Main Concepts In Accounts Receivable & Credit Balances
Patient AR
Practice setup & Provider Credentialing
16 Topics
Scenario 1 - No Claim on File
Scenario 2 - Claim In Process
Scenario 3 - Claim has been paid already
Scenario 4 - Denied as Duplicate Claim
Scenario 5 - Pended Claim
Scenario 6 - Additional information required from the Provider
Scenario 7 - Additional information required from the patient
Scenario 8 - Denied for PCP Referral
Scenario 9 - Denied as No authorization on file
Scenario 10 - Denied as Dx code Inconsistent
Scenario 11 - Denied as Untimely Filing
Scenario 12 - Provider Not available on file
Scenario 13 - Third Party Pricing
Scenario 14 - Out of Network Provider Service
Scenario 15 - Claim was paid to incorrect address
Scenario 16 - Offset Applied
1 Topic
Conclusion
Medical Billing Online Course | Revenue Cycle Management
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