Medical Billing & US Healthcare RCM Certification
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9 modules
Hindi
Certificate of completion
Lifetime access
"Master Medical Billing & RCM Certification to Excel in US Healthcare - Your Gateway to Success in the Healthcare Industry!"
Overview
In the "Medical Billing & US Healthcare RCM Certification" course, you will delve deep into the intricacies of medical billing and revenue cycle management (RCM) within the United States healthcare system. This comprehensive course is designed to equip you with the knowledge and skills required to successfully navigate the complexities of medical billing practices and RCM processes specific to the US healthcare industry. Throughout the course, you will learn about the fundamental principles of medical billing, including coding systems, insurance claim processing, reimbursement methodologies, and compliance regulations. You will also gain insights into the role of electronic health records (EHR) and medical billing software in facilitating efficient billing procedures. Furthermore, this course will cover the key components of revenue cycle management, such as patient registration, charge capture, claims submission, payment posting, and denial management. You will explore strategies for optimizing revenue collection, reducing billing errors, and enhancing overall financial performance within healthcare organizations. Upon completion of this course, you will be well-prepared to pursue certification in medical billing and US healthcare RCM, demonstrating your expertise in managing billing processes, ensuring regulatory compliance, and maximizing revenue generation in the dynamic healthcare landscape of the United States. Join us on this educational journey to acquire the essential qualifications for a successful career in medical billing and revenue cycle management within the US healthcare sector.
What you will learn
Medical Billing and US Healthcare RCM
This course covers healthcare RCM essentials: patient registration, insurance verification, claims submission, denial management, and coding basics. Includes job search and interview tips.
Modules
Career Scope and Job opportunities in Healthcare RCM
Understanding the Medical Billing & RCM
10 attachments • 1 hrs
Overview of Medical Billing Process
Overview of Medical Billing Process
Patient Appointment, Check-in & Registration
Patient Appointment_Check-in & Registration2.
Patient’s Visit & Encounter
Patient Encounter & Visit
Insurance Verification, Eligibility & Benefits
Insurance Verification_Eligibility check & VOB
Common Terminologies Used in Billing
Common Terminologies
Medical Coding and Claim Fundamentals
12 attachments • 1 hrs
Overview of ICD-10, E/M, CPT, HCPCS & CTD Codes
DX, CPT, E&M, HCPCS & CDT
Assigning Diagnosis and Procedure Codes
Assigning Diagnosis and Procedure Codes
Claims Forms, Place of Service & Modifiers
Claim Forms_Place of Service & Modifiers
Electronic V/S Paper Claims-I
Electronic VS Paper Claim Submission I
Electronic V/S Paper Claims-II
Electronic VS Paper Claim Submission-II
Claim Errors & Clearinghouse
Common Errors and Clearinghouse
Insurance Basics
10 attachments • 29.28 mins
Types of Health Insurance Plans
Types of Health Insurance Plans
Claim Adjudication
Claim Adjudication
COB | Primary and Secondary Insurance
COB & Primary and Secondary Payers
Medicare Secondary Payer (MSP)
Medicare Secondary Payer_MSP
Insurance Sponsors, IPAs, TPAs etc.
Insurance Sponsors, IPAs, TPA etc.
Reimbursement Methodologies & Payment
8 attachments • 33.78 mins
FFS, Capitation & DRGs
FFS_Capitation_DRGs
EOB/RA/ERA (Explanation Of Benefits & Remittance Advice)
EOB_RA_ERA
Overpayment, Offset & Recoupment
Overpayment, Offset and Recoupment
Patient’s Responsibility & Patient Billing
Patient’s Responsibility_Patient Billing
AR and Denial Management
8 attachments • 35.04 mins
Claim Rejections
Claim Rejections
AR & Denials
AR & Denials
Reconsiderations & Appeals
Reconsiderations & Appeals
Reports and Analyses
Reports & Analyses
Compliance and Regulations
6 attachments • 17.9 mins
HIPAA Regulations & Patient Privacy
HIPAA Compliance
Fraud & Abuse Laws
Fraud & Abuse Laws
Compliance Best Practices
Compliance Best Practices
Additional Topics Related to Billing
12 attachments • 36.41 mins
Provider Credentialing
Credentialing
Prior Authorization
Prior Auth
PCP Referral
PCP Referral
Billing Software & Technology
Billing Software and Technology
Types of Healthcare Billing-I
Types of Healthcare Billing-I
Types of Medical Billing-II
Types of Medical Billing-II
Career Development & Opportunities
9 attachments • 30.96 mins
Billing Professionals (Roles and Responsibilities)
Roles and Responsibilities
Career Paths, Education & Certifications
Career,Education & Certifications
Textbooks & Online Resources
Textbooks & Online Resources
Job Searching & Interview Preparation Tips
Tips For Job Searching & Interview
Course Assessment
Certification
When you complete this course you receive a ‘Certificate of Completion’ signed and addressed personally by me.
FAQs
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How can I access the course materials?
Once you enrol in a course, you will gain access to a dedicated online learning platform. All course materials, including video lessons, lecture notes, and supplementary resources, can be accessed conveniently through the platform at any time.
Can I interact with the instructor during the course?
Absolutely! we are committed to providing an engaging and interactive learning experience. You will have opportunities to interact with them through our community. Take full advantage to enhance your understanding and gain insights directly from the expert.
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