Medical billing is the process of submitting and following up on claims with health insurance companies or other third-party payers to receive payment for medical services provided to patients. It involves translating the details of patient encounters, diagnoses, and procedures into standardized codes (such as CPT and ICD-10 codes) and submitting these coded claims to insurance companies or payers for reimbursement.
Key steps in the medical billing process include:
1 Gathering patient information, insurance details, and details of medical services provided.
2Assigning appropriate medical codes to the services rendered.
3Creating and submitting claims to insurance companies or payers.
4Tracking the status of claims and following up on any denials or rejections.
5Handling patient billing and collecting any outstanding balances.
Accounts Receivable refers to the outstanding payments owed to a healthcare provider for services rendered but not yet collected. It represents the sum of unpaid claims or patient balances. Managing accounts receivable effectively is essential for maintaining the financial health of healthcare practices.
Key aspects of managing AR include:
Regularly monitoring outstanding claims and patient balances.
Identifying and addressing any claim denials, rejections, or billing errors.
Following up with insurance companies and payers to ensure timely payment.
Sending patient statements and managing patient inquiries regarding their bills.
Working on collections and addressing any overdue balances.
Gathering & Entering Data
Paper Claims Processing
Electronic Claims Processing
Posting Payments
Generating Reports
Billing Your Clients
Group Health
Individual Policies
Medicare
Medicaid
Personal Injury (PIP)
Workers Compensation
Tricare
Insurance Claim Processing
Claim Payment
Report Generation
1. Essential Office Forms
2.Examining Insurance Cards
3. Insurance Verification Process
4.Mock Insurance Verification Conversations
5.Insurance Verification Exercises
The Basics of the CMS 1500 Form
Step-By-Step Instructions for Completing a CMS 1500
Online CMS Form Completion Exercises
Billing Tips
Commonly Made Errors
Definition
Proper Usage
Resource & Reference Material
Definition
Proper Usage
Resource & Reference Material
Patient Demographics
Guarantor Information & Handling
Insurance Coverage Information
Patient Condition Information
Patient Treatment Information
Clinic Billing Information
Paper Claims
Electronic Claims
Secondary Claims
Claims Attachments
Full Payment
Partial Payment
Deductible
Demographics Information
Insurance Information
Procedure Information
Diagnosis Information
1.Charge Entry
2.Payment Entry
3.Financial Adjustments
4.Transaction Notes
Calculating Co-paymentss & Deductibles
100 Co-payments & Deductibles Problems & Answers
Medical Claims
Temporary Disability
Permanent Disability
Vocational Rehabilitation
Survivor Benefits
1.Charge Entry
2.Payment Entry
3.Financial Adjustments
4.Transaction Notes
Calculating Co-paymentss & Deductibles
100 Co-payments & Deductibles Problems & Answers
Box by Box Instruction
Appeals & Adjudication
Fraud & Abuse
Tips for Successful Workers Compensation Claim Filing & Handling
Medical billing training programs are designed to equip individuals with the knowledge and skills required to work as medical billing specialists in the healthcare industry. These programs can vary in duration and format, ranging from short-term courses to comprehensive training programs offered by educational institutions, vocational schools, and online platforms.
career-focused training programs with concentrations to help you build relevant credentials In today’s competitive job market, advanced education can be an excellent way to enhance your qualifications to pursue your professional dreams.
• Fully prepares you for advancement opportunities
• Industry Renowned Training
• Affordable
• Personal Student & post training Support
• CPC/CMBS/CHA/CCAT/CPAT exam boot camps
• 100% job oriented and Certification oriented training
• Hundreds of practice questions and answers with rationale
• Course Completion certificate
Our ultimate goal is to prepare students academically, personally and professionally for successful careers in their chosen fields.
Pen and paper exam
Fees: $200
www.physicianswebsites.com
Online exam
Fees: $ 100
www.aaham.org
Online exam
Fees: $424.00
www.ambanet.net
Because they can make good money and have a skill that is in great demand.
Yes. Security. People will always need doctors, and doctors will always need to submit properly coded records to be reimbursed for their services.
Yes. The ease of learning medical coding and billing can vary from person to person, depending on several factors.
You must have:
1. Medical Terminology Knowledge
2. Any Graduates
oshi Medicode technologies Founder and Instructor is Certified Professional Coder, certified in 2004 with 5 years of On-site and Real-time experience.
Certified in:
CPC®: Certified Professional Coder
CPC-H®: Certified Professional Coder-Hospital
CPC-P®: Certified Professional Coder-Payer
CPMA®: Certified Professional Medical Auditor
CHA®: certified HIPAA administrator
CHL7: Certified HL7 specialist
and Certified Six Sigma Black belt
The Instructor have “been there, done that”.
Because Job Opening and salaries varies, we suggest you refer the job portals (www.naukri.com andwww.monster.com)
Medical Coding/Billing Specialists work Medical BPOs.
The U.S. Department of Labor estimates that the demand will increase much faster than average.
You’ll only need access to a CPT and ICD-9 Coding Manual. You may prefer to purchase one or we can tell you where to locate a library that has one available.
As a Medical Coding Specialist, your earnings grow with your experience.
The length of the medical coding and billing program varies depending on how much time you want to commit to your studies. You can finish in as little as 45 days or take as long as 3 months – it’s up to you!
Certification is not required to get a job as a medical coder and biller, but it will give your career an advantage. It provides you with medical coding and billing course credentials – something that is highly valued in today’s medical field. Having the distinction of being “certified” can lead to better job opportunities and help you create the long-term career you want.
www.aapc.com www.ahima.org
