Comprehensive Guide To Medical Billing (For Beginners)

What you'll learn
Gain a comprehensive understanding of the fundamental concepts, terminology, and processes involved in medical billing.
Acquire skills in managing the RCM, including patient registration, charge capture, claims processing, and payment posting.
Familiarize yourself with payer policies, guidelines, and regulations governing medical billing and reimbursement practices.
Understand the importance of compliance with healthcare regulations, privacy laws (HIPAA), and ethical standards in billing practice.
Develop the ability to prepare and submit medical claims accurately and efficiently, including electronic claim submission system
Gain insight into various reimbursement methodologies, including fee-for-service, capitation, and diagnosis-related groups (DRGs).
Find out what claim denials and appeals are, and learn how to deal with them effectively.
Requirements
While no specific background in healthcare is required, having an interest in healthcare administration, billing processes, or the healthcare industry in general can enhance your learning experience.
Most beginner-level medical billing courses do not require formal education beyond a high school diploma or its equivalent.
Proficiency in English language is essential to understand course materials, instructions, and communications effectively.
Medical billing courses require dedication and commitment to completing coursework. A motivated and disciplined approach to learning is essential for success.
Description
Explore the basics of medical billing and healthcare revenue cycle management in this beginner-friendly course. Through simple modules, you'll gain the essential skills needed to navigate medical billing with confidence.Acquire essential knowledge of medical terminology, billing software applications, compliance regulations, and reimbursement methodologies. Whether you're starting a new career or aiming to strengthen your current skills, our introductory course provides you with the necessary confidence to excel in this field.This comprehensive course guides you through each stage of the billing cycle with precision and clarity. From the initial patient check-in and demographic entry to the crucial steps of patient encounter, coding, charging posting, and claim creation, you'll gain a thorough understanding of the entire process. Moreover, you'll delve into essential components like payment and cash posting, as well as honing your skills in areas such as accounts receivable and denials management. With a focus on appeals and patient statements, this course equips you with the essential knowledge to navigate the complexities of Healthcare Revenue Cycle Management.In this course, we delve into the crucial roles and responsibilities of billing professionals. Also provide references to further online learning resources and share insights into career opportunities. Throughout the course, you'll find assessments accompanying each lecture to gauge your understanding of the material. And, to wrap it up, there's a final test to ensure you've grasped the concepts thoroughly.
Overview
Section 1: Introduction To Medical Billing
Lecture 1 Overview Of Medical Billing Process
Lecture 2 Importance Of Accurate Medical Billing
Lecture 3 Common Terminologies Used In Medical Billing
Lecture 4 Common Abbreviations And Place Of Services Used In Medical Billing
Lecture 5 Types Of Claim Forms And Modifiers
Section 2: Healthcare Industry Overview
Lecture 6 Understanding The Structure Of The Healthcare Industry
Lecture 7 Current Trends And Challenges In Medical Billing
Lecture 8 Roles And Responsibilities Of Medical Billing Professionals
Section 3: Medical Billing And Coding Fundamentals
Lecture 9 Overview Of Medical Coding (ICD-10, CPT, HCPCS)
Lecture 10 Basics Of Assigning Diagnostic And Procedure Codes
Section 4: Insurance Basics
Lecture 11 Types Of Health Insurance Plans (PPO, HMO, Medicare, Medicaid, Etc.)
Lecture 12 Understanding Insurance Terminology
Section 5: Claims Submission Process
Lecture 13 Step By Step Guide To Preparing And Submitting Insurance Claims
Lecture 14 Electronic Vs Paper Claims Submission
Lecture 15 When To Submit The Electronic Claim And When To Submit On Paper
Lecture 16 Common Errors To Avoid In Claims Submission
Section 6: Reimbursement And Payment Processing
Lecture 17 Overview Of Reimbursement Methodologies (Fee For Service, Capitation, Diagnosis)
Lecture 18 EOB-Explanation of Benefits and RA-Remittance Advice
Lecture 19 Denials, Appeals and Rejections
Section 7: Compliance And Regulations
Lecture 20 HIPAA Regulations And Patient Privacy
Lecture 21 Fraud And Abuse Laws In Medical Billing
Lecture 22 Compliance Best Practices For Medical Billing Professionals
Section 8: Medical Billing Software And Technology
Lecture 23 Introduction To Medical Billing Software Systems
Section 9: Career Development And Opportunities
Lecture 24 Exploring Career Paths In Medical Billing
Section 10: Case Studies And Additional Resources
Lecture 25 Case Studies And Additional Resources
Section 11: Final Knowledge Evaluation: Assessing Your Expertise
This course is perfect for individuals who want to dive into medical billing, whether you're aiming for entry-level jobs in the field or thinking about advancing your studies in this area.,A provider wondering how RCM works, or a patient trying to learn how the medical bills are reimbursed.,An office, clinic or hospital looking to train their fresher staff members on medical billing basics.
Homepage
https://www.udemy.com/course/comprehensive-guide-to-medical-billing-for-beginners/