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Career Scope and Job opportunities in Healthcare RCM
Understanding the Medical Billing & RCM
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
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
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
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
Claim Rejections
Claim Rejections
AR & Denials
AR & Denials
Reconsiderations & Appeals
Reconsiderations & Appeals
Reports and Analyses
Reports & Analyses
Compliance and Regulations
HIPAA Regulations & Patient Privacy
HIPAA Compliance
Fraud & Abuse Laws
Fraud & Abuse Laws
Compliance Best Practices
Compliance Best Practices
Additional Topics Related to Billing
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
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