Healthcare Finance Essentials: Medical Billing & Revenue Cycle Management, Medical Billing, Insurance Claims Processing.
Sub Category
- Other Teaching & Academics
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Objectives
- Understand the complete medical billing and healthcare revenue cycle management (RCM) process from patient registration to final payment collection.
- Identify the roles and responsibilities of a medical biller within healthcare organizations.
- Differentiate between medical billing and medical coding and understand how they work together.
- Explain how patients, healthcare providers, and insurance payers interact within the healthcare reimbursement system.
- Understand major healthcare insurance models and payment structures.
- Apply core principles of HIPAA privacy and security and safeguard Protected Health Information (PHI).
- Recognize healthcare compliance standards, including fraud and abuse prevention guidelines.
- Understand the purpose and structure of ICD-10-CM, CPT, and HCPCS Level II coding systems.
- Link diagnosis and procedure codes to support medical necessity and accurate reimbursement.
- Interpret and understand the CMS-1500 and UB-04 claim forms.
- Perform key front-end billing tasks such as patient registration, insurance verification, and authorization processes.
- Understand charge capture workflows and create clean claims to reduce claim rejections.
- Explain the role of healthcare clearinghouses in claims transmission.
- Understand the payer adjudication process and how insurance companies evaluate claims.
- Read and interpret Explanation of Benefits (EOB) and Electronic Remittance Advice (ERA) documents.
- Identify common claim denials and apply structured appeal and revenue recovery strategies.
- Develop foundational knowledge required for entry-level roles in medical billing and healthcare administration.
Pre Requisites
- An interest in healthcare administration, medical billing, or insurance claims processing.
- Willingness to learn industry terminology, workflows, and compliance principles step by step.
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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