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Computerized Medical Billing  

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Netcom Learning   

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This course is designed for anyone interested in learning Medical Billing or setting up a private billing practice.

Cost:   

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Seminar Summary:

This course will provide students with different forms of health insurance and reimbursement techniques, including how to submit and receive payment from patients, health insurance providers and state agencies. (see full course description)

 

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Training Course Syllabus:


Description
Class is held in four Saturday or Sunday sessions 9AM - 5PM. This course teaches the student different forms of health insurance and reimbursement techniques, including how to submit and receive payment from patients, health insurance providers and state agencies.

Audience
Anyone interested in learning Medical Billing or setting up a private billing practice.

Objectives
·  Describe types of medical insurance
·  Identify procedures for obtaining pre-authorization or pre-certification
·  Complete insurance forms for government programs such as Medicare and Medicaid, Workers' Compensation, Blue Cross/Blue Shield, private third party, and managed care
·  Discuss legal and ethical considerations with emphasis on confidentiality and fraud related to insurance
·  Discuss record keeping guidelines
·  Electronic Data Interchange (EDI)

Required Prerequisites
 ·  Medical Coding
 ·  Medical Terminology

Recommended Prerequisites
 ·  Microsoft Access 2002: Level 1
 ·  Microsoft Excel 2002: Level 1
 ·  Microsoft Outlook 2002: Level 1
 ·  Microsoft PowerPoint 2002: Level 1
 ·  Microsoft Word 2002: Level 1

Outline
    1. Introduction to Managed Care/Medical Insurance
      1. Introduction to Claims Processing
        1. Legal Environment
          1. Provider Charge and Payment Methods
            1. The Universal Health Insurance Claim (HCFA-1500)
              1. Claim Adjudication, Reimbursement Follow-up, and Record Retention
                1. Managed Care Contracts and Private Payers
                  1. Blue Cross / Blue Shield Claim Processing
                    1. Medicare and Medicaid Claim Processing
                      1. Tricare (ChampUS) and ChampVA Claim Processing
                        1. Medicare and Medicaid Claim Processing
                          1. Workers Compensation Claim Processing

                            Seminar Summary:

                            This course will provide students with different forms of health insurance and reimbursement techniques, including how to submit and receive payment from patients, health insurance providers and state agencies. (see full course description)

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