Master RCM & Medical Billing (Level 2 of 5): Intermediate skills in prior auth, coding, CMS-1500/1450, EDI, denials, A/R
Sub Category
- Management
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Objectives
- Map the full RCM lifecycle—from patient access to zero balance.
- Prepare and submit clean CMS-1500 and CMS-1450 claims with payer-specific rules.
- Execute prior authorization and eligibility workflows that reduce denials.
- Apply intermediate medical coding to support accurate charge capture.
- Post payments/ERAs and reconcile using 835/EDI remittances.
- Run A/R management & A/R calling with aging, follow-ups, and appeals.
- Prevent and resolve denials with root-cause analysis and KPIs.
- Use reports, automation, and analytics to optimize US healthcare revenue.
Pre Requisites
- Basic familiarity with medical billing/coding and the US healthcare payer landscape.
- Ability to read EOB/ERA is helpful
- Prior exposure to claim forms (CMS-1500, UB-04/CMS-1450) is helpful.
- Motivation to practice with case studies, sample claims, and denial scenarios.
FAQ
- Q. How long do I have access to the course materials?
- A. You can view and review the lecture materials indefinitely, like an on-demand channel.
- Q. Can I take my courses with me wherever I go?
- A. Definitely! If you have an internet connection, courses on Udemy are available on any device at any time. If you don't have an internet connection, some instructors also let their students download course lectures. That's up to the instructor though, so make sure you get on their good side!
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