Professional Certificate in Health Insurance Billing Procedures
-- ViewingNowThe Professional Certificate in Health Insurance Billing Procedures is a comprehensive course designed to empower learners with the essential skills needed to excel in the health insurance billing industry. This course is of paramount importance due to the increasing demand for proficient health insurance billing specialists in healthcare organizations.
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โข Health Insurance Basics: Understanding Health Insurance Terminology, Types of Health Insurance, Health Insurance Eligibility and Enrollment
โข Medical Coding and Classification Systems: ICD-10-CM, CPT, HCPCS, NCCI Edits
โข Billing Procedures: Charge Entry, Claims Submission, Remittance Advices
โข Claims Processing and Adjudication: Electronic Data Interchange (EDI), National Provider Identifier (NPI), Electronic Remittance Advice (ERA)
โข Appeals and Grievances: Handling Claim Denials, Appealing Claim Denials, Filing a Grievance
โข Compliance and Regulatory Requirements: HIPAA Privacy and Security Rules, False Claims Act, Stark Law
โข Health Insurance Billing Software: Overview of Billing Software, Features and Functions, Data Analysis and Reporting
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EntryRequirements
- BasicUnderstandingSubject
- ProficiencyEnglish
- ComputerInternetAccess
- BasicComputerSkills
- DedicationCompleteCourse
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- NotAccreditedRecognized
- NotRegulatedAuthorized
- ComplementaryFormalQualifications
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- ThreeFourHoursPerWeek
- EarlyCertificateDelivery
- OpenEnrollmentStartAnytime
- TwoThreeHoursPerWeek
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