Medical Billing Online Training Courses
CBT Direct offers you the most effective way to become a Certified Medical Claims Professional (CMCP) in the growing healthcare
industry. CBT Direct’s online course for Medical Billing Certification provides self-paced computer-based online training to give
you an effective, convenient and affordable alternative to classroom training that’s guaranteed to get you a medical certification
in medical billing*!
What is a Medical Biller?
Medical Billers assemble, organize and evaluate medical records and charts for completeness and accuracy. Medical billers ensure that all forms are properly identified, signed, and that all necessary information is in the computer. Once all of the relevant data are correctly assembled, the Medical Billing Specialist then bills the insurance company or Federal Government for the services and goods rendered while treating the patient.
Clearly, the Medical Biller is a vital part of a private practice or hospital environment. The Medical Biller is responsible for making sure payments are made by insurance companies and that cash-flow is maintained. Without medical billing there is no practice or hospital!
The Medical Billing professional can also be referred to as a Medical Reimbursement Specialist or Health Insurance Specialist.
CBT Direct’s online course in medical billing training offers students the following benefits:
- Complete Online Training in Medical Billing for the CMCP Exam
- Convenient Anytime, Anywhere Online Training
- Money-Back Certification Guarantee*
- 2,000+ Questions and Exercises
- Extracts of Sample Medical Reports Included
- Detailed Medical Drawings and Animations
- Built-In Online Course Testing
- Audio Included in Limited Sections of Online Course
- Up-to-Date Medical Billing Training Terminology
Medical Billing Certification Means Success!
Certified Medical Billing professionals are in high demand throughout the healthcare industry. In fact, according to HealthcareJobs.org, Medical Billing is one of the fastest growing opportunities in healthcare. Insurance companies and government agencies are spending more time and money researching and controlling claims fraud, abusive practices and medical necessity issues. Because of this, most companies and practices are looking for employees who have comprehensive medical billing training.
And, studies show that Medical Billers are paid accordingly for their exceptional medical billing skills. The average starting pay for a certified Medical Biller is about $30,000 per year, with experienced Medical Billers making well over $50,000 per year!
CBT Direct’s medical billing training online course will take the average student a little over 300 hours to work all the way through to completion and on their way to becoming a successful medical biller!
Foundations of Medical Billing Professional Course Content:
UNIT I
Who Pays and Who Benefits
- The medical billing and reimbursement process is intensely complex
- Understanding medical terminology employed
Provider Structure and Protocols
- The provider’s staff and their responsibilities
- Basic practice elements such as payment policies, etc.
- The patient and the registration process
Hospital Billing
- Types of hospital medical billing: Outpatient, Inpatient and Combination
- Various medical billing functions
Family Relationships
- Integration of information gathered
Billing the Encounter
- What is a “Superbill”?
- Data entry, pre-medical billing protocols Insurance forms and claims processing
- Payments and adjustments
- Appeal process and statements
Practice Economics
- Different types of reports
- Steps to overcome delinquency in payments
Collections
- Managing receivables
- Necessity of monitoring accounts on a regular basis
Coding
- Two main types of coding systems – CPT and ICD
- Coding guidelines and coding summary
- Coding software
Fee Profiles
- Determining attendant fees
- Advantages of CPT system
- Role of insurance companies and physician’s fee schedule
Overview of Medicaid – Medicare
- CMS and its functioning HIPAA – Health Insurance Reform and Administrative Simplification
- Medicare’s EDI and its advantages
UNIT 2
The Health Insurance Specialist
- Basic skill requirements and job description of Health Insurance Specialist
- About ICD 9 (CM) and ICD 10 (CM), their codes and manuals
- HCPCS (Healthcare Common Procedure Coding System)
Billing Terminology
- Commonly used terms in medical billing field
- Evolution of US Healthcare Legislation
- Different types of insurance
- Different types of payment systems used
Healthcare Organization Plans
- Medical biller commonly used terms
- Various healthcare organizations like MCO
Insurance claims
- Actual insurance processing steps
- Place and type of service codes
- Form filling
Payer Processing
- Processing claims, errors and denials
- Insurance regulation
Laws, Rules and Regulations
- Federal, government and state legislations
- Commonly used terminology
- Laws regarding privacy HIPAA - Health insurance portability and accountability act
- Fraud and abuse
Private Insurers
- Blue Cross and Blue Shield, a primary Insurance company
- Different plans and billing rules under this company
Medicare
- About Medicare: its programs and types of coverage
- Medicare Summary Notice
Medicaid
- Various eligibility groups having federal matching funds
- Provider confirmation of eligibility
- Covered service and medical billing information
- Filing claims
Tricare
- About Tricare and its service centers
- CHAMPVA (Civilian Health and Medical Program, Department of Veteran Affairs)
- Medical billing protocol and exceptions
Worker’s Compensation
- Commonly used terminology for medical billers
- Various programs for worker’s compensation; federal and state provider rules
- Claims forms
* See CBT Direct’s certification guarantee.
