Medical Billing

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Medical billing is the process of submitting and following up on claims with health insurance companies in order to receive payment for services rendered by a healthcare provider. Medical billing translates a healthcare service into a billing claim. The responsibility of the medical biller in a healthcare facility is to follow the claim to ensure the practice receives reimbursement for the work the providers perform. A knowledgeable biller can optimize revenue performance for the practice

What you will learn?

The financial health of a practice largely depends on the performance of the billing office. Increasing demands on providers with decreasing reimbursement requires healthcare offices to have highly skilled medical billers. Understanding of medical insurance, the claims process, the appeals process, and the impact on the practice’s revenue gives the medical biller the tools to successfully optimize and maximize a practice’s revenue performance. Navigate through various insurance rules and regulations to reduce A/R days.Understand the nuances of various types of insurance carriers along with their claim requirements.Provide successful follow-up efforts for A/R including the appeals process for denied claims
Implement best practices for insurance and patient collections while maintaining excellent public relations.Reduce risk by understanding Fair Debt collection practices, professional courtesy regula.ions, clean claims and timely filing guidelines, refund requirements, and other regulations
Use data and reports as indicators for potential improvement area

Eligibility Criteria: Any Degree

Syllabus

  • Anatomy & Physiology
  • Medical Terminology. Pre-fix, Suffix, Abbreviations
  •  All human systems
  • ICD-9 CM
  •  CORING & Introduction to medical coding
  • WELL TESTING
  • Structure & conventions
  • General Coding guidelines
  •  Chapter specific guideline
  • CPT-4: Procedure CodingNG
  • Evaluation and Management Coding
  • Anesthesia Coding
  • WORK OVER  Surgery Coding
  • Radiology Coding
  • Pathology Coding WEEK HSE