Course Overview

Building Proficiency in Medical Billing and Related Skills

At our institute, we offer a comprehensive course designed to equip students with the necessary skills and knowledge to excel in the field of medical billing. Our program encompasses a wide range of topics, including denial and AR management, AR calling, basic English, typing, and interview skills. With a focus on practicality and professional development, our syllabus covers essential aspects of the medical billing industry.

Syllabus Highlights

Chapter 1

Introduction of US Health Care Gain a comprehensive understanding of the US healthcare system, its structure, and key stakeholders.

Chapter 2

Let's Learn about Medical Billing Delve into the fundamentals of medical billing, exploring its role in the revenue cycle and its significance in healthcare organizations.

Chapter 3

Health Insurance Models and Consumer-Driven Programs Examine different health insurance models and consumer-driven programs to understand their impact on medical billing processes.

Chapter 4

Federal Plan Explore the intricacies of federal healthcare plans, understanding the specific regulations and requirements associated with them.

Chapter 5

Commercial Plan Gain insights into commercial health insurance plans, including their policies, claim processes, and reimbursement procedures.

Chapter 6

ICD10 Master the ICD10 coding system, learning how to accurately assign diagnosis codes for various medical conditions.

Chapter 7

CPT Develop proficiency in the Current Procedural Terminology (CPT) coding system, enabling you to assign accurate procedure codes for medical services.

Chapter 8

Medical Billing Cycle Discover the step-by-step process of the medical billing cycle, from patient registration to claim submission and reimbursement.

Chapter 9

Medical Necessity Learn the principles of medical necessity, ensuring that services provided are justified and compliant with insurance requirements.

Chapter 10

AR Management Learn the essential skills for Accounts Receivable (AR) management, including tracking and resolving outstanding claims and maximizing revenue collection.

Chapter 11

Claim Form (HCFA 1500 Form and UB04) Become proficient in completing claim forms, including the HCFA 1500 form for professional services and the UB04 form for facility services.

Chapter 12

Denial Management (Common Denial and Rejection) Develop strategies for effective denial management, understanding common denial and rejection scenarios and implementing appropriate remedies.

Chapter 13

HCPCS Level II Concepts and Modifiers Understand the concepts and modifiers involved in the Healthcare Common Procedure Coding System (HCPCS) Level II, facilitating accurate billing and reimbursement.