Professional Certificate in Medical Billing and Collections
-- ViewingNowThe Professional Certificate in Medical Billing and Collections is a comprehensive course designed to equip learners with the essential skills required in the medical billing and collections industry. This program emphasizes the importance of accurate medical coding, billing, and collections to ensure the financial health of healthcare organizations.
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โข Medical Billing and Coding Basics: Understanding medical code sets (ICD-10, CPT, HCPCS), medical terminology, and diagnostic and procedural codes.
โข Medical Billing Process: Learning the medical billing workflow, including claim submission, remittance advice, and adjustments.
โข Insurance Processes: Exploring insurance policies, coverage criteria, and patient eligibility verification.
โข Billing Software and Systems: Navigating various medical billing software, electronic health records (EHRs), and practice management systems.
โข Claims Management and Follow-up: Mastering claim submission, rejections, denials, and appeals to maximize revenue.
โข Compliance and Regulations: Adhering to HIPAA regulations, fraud and abuse laws, and medical billing guidelines.
โข Patient Billing and Payments: Managing patient statements, payment processing, and collections.
โข Medical Billing Analytics: Analyzing revenue trends, reimbursement rates, and key performance indicators (KPIs) to improve financial outcomes.
โข Medical Billing Best Practices: Implementing industry best practices, including documentation, coding, and billing strategies.
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