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HIPAA Compliant Medical Billing (MB)




Goals of the course
This course is designed for individuals with or without practical medical billing and medical insurance knowledge. Candidates who want to gain knowledge in various areas of HIPAA Compliance in Medical Billing, Electronic Data Interchange (EDI) Claims Transactions, Insurance procedures, CPT codes and ICD-9 codes and State-of-the-Art Medical Billing Software Applications.

    Course Overview
      With the new HIPAA regulation deadline looming, Physicians are overwhelmed with insurance paperwork these days. Medical claims processing has become big business! With the right training, you could have the skills to process medical claims efficiently, handle patient invoices, and obtain reimbursements for both patients and doctors. This program is designed to enable candidates to learn about Medical Billing from initiation to final collections.


    Course Outline
      The program consists of five modules:
      1. Introduction:
          1.1 Medical Billing process
          1.2 Data entry
          1.3 Paper claims v/s Electronic claims
          1.4 Payment and Reports
      2. Forms and Procedures:
          2.1 Patient demographics
          2.2 Insurance types and procedures
          2.3 Super bills
          2.4 The HCFA 1500 form
      3. Medical codes usage:
          3.1 CPT (Current Procedural Technology) Codes
          3.2 ICD-9 (International Classification of Diseases) Codes
      4. Medical Billing Software (Hands on training)
      5. Medical Billing Lifecycle
          5.1 Gathering claim data
          5.2 Data entry
          5.3 Claim format (Paper/Electronic)
          5.4 Claim submission
          5.5 Payment posting
          5.6 Reporting







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