MedCertify - Medical Billing & Insurance Reimbursement
 Medical Billing & Insurance Reimbursement
Consistent cash flow is critical in a healthy outpatient medical practice, and the HCFA-1500 insurance claim form represents from 85% to 95% of the reimbursement flow back to the practice. The form is driven by the
medical insurance billing specialist either electronically or manually and gets to the insurance company quickly or slowly respectively.
The medical biller is the key player in the financial operations of the medical office is involved in many aspects from writing office policy to institute the billing standards for the medical
practice, submitting claims, interfacing with the customers and insurance companies, to working with the physician or hospital staff to insure proper billing is done. Billers need to know insurance rules
and regulations for various insurance plans, Medicare, Medicaid, and third-party payers.
This course is designed to help you learn all of the clerical functions that a medical biller performs in order to process the HCFA-1500 form quickly and accurately. It also covers understanding source
documents and the insurance "claim cycle", claim submission, the TRICARE and CHAMPVA programs, workers' comp programs, receiving payments and problem solving, as well as learning how
to work with others from staff and patients to insurance company representatives.
This course includes instructor video lectures, instructor presentations, quizzes, tests, and worktext. Included with the worktext is a comprehensive resource CD with quizzes, exams exercises and much more.
This course includes the following elements:
Video-Based eLearning Lectures – Medical Billing & Insurance Reimbursement; MedCertify
Textbook – Medical Insurance Billing & Coding An Essentials Worktext; Fordney, ISBN 0721695167
Note: This program has prior approval of the American Academy of Professional Coders for 6.0 Continuing Education Units. Granting of this approval in no way constitutes endorsement by the
Academy of the program, content or the program sponsor.
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Item
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Code
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Price
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Order
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Medical Billing & Insurance Reimbursement - Set of 2 CDs with Book (single user license)
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mkbillins
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$249.00
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Library License - Medical Billing & Insurance Reimbursement - Set of 2 CDs with Book
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mkbillinsb
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$498.00
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Course Instructor: Cyndi Stahl
Cyndi Stahl is a physician based certified coder with both the American Academy of Professional Coders (AAPC) and the American Health Information Management Association. (AHIMA) She has
over 16 years in the medical profession. Her experience includes Billing and Reimbursement supervision, Practice Management and Consulting. She is currently president elect for the Central
Indiana Chapter of the American Academy of Professional Coders.
Course Outline
Medical Billing & Reimbursement Level 1
Introduction to Medical Billing
Fundamentals of Health Insurance Coverage
Insurance Claim Cycle
Documentation & the Medical Record
The Health Insurance Claim Form
Fees: Private Insurance & Managed Care
Medical Billing & Reimbursement Level 2
Introduction
Medicaid Program
Medicare Program
TRICARE & CHAMPVA
Workers' Compensation
Patient Billing
Tracking Reimbursement
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