Chapter 1: Introduction to Medical Billing
-
About Medical
Billing
-
The Basics
Overview
- Gathering & Entering Data
- Paper Claims Processing
- Electronic Claims Processing
- Posting Payments
- Generating Reports
- Billing Your Clients
-
Types of Insurance
Coverage
- Group Health
- Individual Policies
- Medicare
- Medicaid
- Personal Injury (PIP)
- Workers Compensation
- Tricare
-
Procedures and
Diagnoses
-
Insurance Claim
Processing
-
Claim Payment
-
Report Generation
-
Clickable Internet
Resources
-
Study Guide
-
Chapter 1
Examination
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Chapter 2:
Understanding Office Forms
-
Essential Office
Forms
- Patient Demographic Form and Completion
- Insurance Cards
- Insurance Verification Form and Verification Procedures
- Superbill
- Daysheet
-
Examining
Insurance Cards
-
Insurance
Verification Process
-
Mock Insurance
Verification Conversations
-
Insurance
Verification Exercises
-
Superbill/Encounter
Document
-
Calculating
Co-payments & Deductibles
-
Clickable Internet
Resources
-
Study Guide
-
Chapter 2
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Chapter 3: Understanding the CMS 1500 Form
-
Basics of the
CMS 1500 Form
-
Box by Box
Breakdown of the CMS 1500 Form
-
Step-By-Step
Instructions for Completing a CMS 1500 Form
-
Online CMS Form
Completion Exercises
-
Billing Tips
-
Commonly Made
Errors
-
Clickable Internet
Resources
-
Study Guide
-
Chapter 3
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Chapter 4:
Understanding Codes
-
CPT (Current
Procedural Technology) Coding
- Definition
- Proper Usage
- Resource & Reference Material
-
ICD (International
Classification of Disease) Coding
- Definition
- Proper Usage
- Resource & Reference Material
-
Clickable Internet
Resources
-
Study Guide
-
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Chapter 5: The
Life Cycle of an Insurance Claim
-
The Time-Line of
an Insurance Claim
-
The Collection of
Claim Data
- Patient Demographics
- Guarantor Information & Handling
- Insurance Coverage Information
- Patient Condition Information
- Patient Treatment Information
- Clinic Billing Information
-
Claim Information
Data Entry
-
Claim Submission
- Paper Claims
- Electronic Claims
- Secondary Claims
- Claims Attachments
-
Receiving &
Posting Payments
- Full Payment
- Partial Payment
- Deductible
-
Clickable Internet
Resources
-
Study Guide
-
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Chapter 6:
Working with Billing/Practice Management Software
-
Basic Components
of Billing Applications
-
Clinic Data
- Billing Identification Numbers
-
Physician Data
- Tax ID, UPIN, License Numbers
- Assignment
-
Patient Data
- Demographics Information
- Insurance Information
- Procedure Information
- Diagnosis Information
-
Claim Generation
- Charge Entry
- Payment Entry
- Financial Adjustments
- Transaction Notes
-
Electronic & Paper
Claims
-
Report Generation
-
Clickable Internet
Resources
-
Study Guide
-
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Chapter 7: Medical Billing/Practice Management Software Application
You will receive
DAQbilling Medical Billing Software for training, a
software training workbook, a mock data manual for data entry and
CMS 1500 forms.
This chapter is quite
comprehensive and will have you actually entering data,
generating claims, posting payments, running reports, etc.
These are considered the "daily operations" of a medical billing
center.
-
Study Guide
-
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Chapter 8:
Operating a Medical Billing Business
-
Naming Your
Business
-
Setting Up Your
Business
- Writing a Business Plan
- Pricing Your Services
-
Office Equipment &
Essentials
-
Services You Can
Provide
-
Transferring of
Data
-
Relationship
Selling
-
Steps to Writing a
Proposal
-
Clearinghouse
Selection
-
Attorney &
Accountant Services
-
Financing Your
Business
-
Legal Structure
- Sole Proprietorship
- General Partnership
- Corporation
- Limited Liability Corporation
-
Clickable Internet
Resources
-
Study Guide
-
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Chapter 9: Marketing Your Medical Billing Business
-
Promoting Your
Business
-
Advertising that
Sells
- Attention
- Interest & Desire
- Action
-
The Benefits of
Selling Benefits
-
Targeting
Specialties
-
Your Market
-
Revenue
Enhancement
-
Sample Documents
- brochures, flyers, post-cards, letters, contracts
-
Clickable Internet
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Chapter AC1: Understanding HIPAA
- Introduction to HIPAA
- Health Insurance Portability
- Accountability
- Administrative Simplification
- Transactions & Code Sets Standards
- Unique Identifier Standards
- Security & Electronic Signature Standards
- Implementation Specifications
- Administrative Safeguards
- Physical Safeguards
- Technical Safeguards
- Privacy & Confidentiality
- Consumer Control
- Boundaries: Medical Records
- Security of PHI
- Accountability: Medical Records
- Public Responsibility
- Consent and Authorizations
- Marketing & Fundraising
- De-identification
- Business Associates
- Penalties for Non-Compliance
- Clickable Internet Resources
- Study Guide
- HIPAA Examination
- Certificate of Course Completion
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Chapter AC2: Calculating Co-payments & Deductibles
- 100 Copayment & Deductibles Problems & Answers
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Chapter AC3: Understanding Workers' Compensation
NEW
- Introduction to Workers Compensation
- Medical Claims
- Temporary Disability
- Permanent Disability
- Vocational Rehabilitation
- Survivor Benefits
- Federal Workers Compensation Overview & Claim Filing
- State Workers Compensation Overview & Claim Filing
- First Report of Injury
- CMS 1500 Completion for Workers Compensation Claims
- Box by Box Instruction
- Appeals & Adjudication
- Fraud & Abuse
- Tips for Successful Workers Compensation Claim Filing &
Handling
- Glossary of Workers Compensation Terms
- Clickable Internet Resources
- Study Guide
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