Online Class: Introduction to Medical Billing

Unlock your potential as a medical biller by understanding the intricate process of insurance claims and healthcare policies through this meticulously designed course. Join the expanding realm of healthcare administration and gain indispensable skills for a rewarding career.

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  • 10
    Lessons
  • 28
    Exams &
    Assignments
  • 207
    Students
    have taken this course
  • 17
    Hours
    average time
  • 1.7
    CEUs
 
 
 

Course Description

Mastering Medical Billing: Your Pathway to a Rewarding Healthcare Career

The healthcare industry is a vast, dynamic, and essential sector, with myriad specialties and vocations. Among these, medical billing stands out as a critical cog in the medical machinery. As the healthcare sector continues to expand, the role of a proficient medical biller becomes increasingly indispensable.

Why Medical Billing?

In our interconnected world, where patient care seamlessly merges with technological advancements, the medical biller emerges as a bridge between healthcare providers and insurance companies. They play a quintessential role in ensuring the financial health of medical establishments. From processing insurance claims to adhering to ever-evolving healthcare policies, a medical biller's responsibilities are both diverse and integral. The demand for skilled medical billers has surged in recent years. Hospitals, clinics, and private practices rely heavily on adept billers to streamline their operations and maintain fiscal health.

What Will You Learn?

This comprehensive, self-paced course is meticulously crafted to arm you with the essential skills required to excel in medical billing. It's structured to suit both novices and those looking to brush up on their skills. Designed in accessible language, this course promises a deep dive into the intricate world of medical billing.

  1. Overview of the Healthcare System & Career Opportunities in Medical Billing (Lesson 1): Gain insights into the healthcare system's landscape and the exciting career paths open to medical billers.

  2. Medical Biller Job Description (Lesson 2): Delve into the specifics of what a medical biller does, understanding the nuances and intricacies of the role.

  3. Analyzing Provider and Patient Information (Lesson 3): Learn the art of dissecting critical data, ensuring accurate billing and top-notch patient care.

  4. ICD-10-CM - What is it? (Lesson 4): Get acquainted with the International Classification of Diseases, Tenth Edition, Clinical Modification - an essential tool for medical billing.

  5. Analyzing the Hospital Billing Process (Lesson 5): A deep dive into the billing process of hospitals, understanding the differences and nuances from other medical establishments.

  6. Analyzing the Physician Billing Process (Lesson 6): Gain a comprehensive view of how billing works specifically for physicians, unraveling the unique challenges and solutions.

  7. Exploring Different Types of Health Insurance (Lesson 7): Understand the diverse insurance types, ensuring effective communication with insurance providers.

  8. Medicare Overview (Lesson 8): Discover the workings of Medicare, one of the most significant health insurance programs.

  9. Reimbursement & Legal Issues (Lesson 9): Navigate the legal framework surrounding medical billing and understand the pivotal role of reimbursements.

  10. Medical Billing & Coding Certifications Information (Lesson 10): Explore the various certifications available, understanding their relevance and the advantages they bring to your career.

Why Choose This Course?

For those aspiring to make a mark in the healthcare administration domain, this course serves as a beacon. You will not only learn the technical aspects of medical billing but also cultivate a holistic understanding of its role in the broader healthcare spectrum. By the course's end, you'll be poised to seamlessly integrate into any medical establishment, wielding the dual weapons of knowledge and confidence.

In conclusion, if you're seeking a career that blends the gratification of being part of the healthcare industry with the satisfaction of a meticulous administrative role, medical billing is your answer. And this course, with its extensive curriculum and practical insights, is the perfect springboard to launch you into this rewarding profession.

Course Motivation

Unlock a Rewarding Career in Medical Billing and Health Information Management!

Did you know that U.S. healthcare insurers process over 5 billion claims annually? With healthcare dominating national conversations and poised for further growth, now is the perfect time to join this thriving industry. Among the fastest-growing fields is Health Information Management (HIM), where medical billing and coding professionals are in high demand.

This course is your gateway to a rewarding career in medical billing, designed for individuals with little to no experience. No medical degree is required-just a willingness to learn and seize the incredible opportunities in this booming sector.

What You'll Gain:

  • Comprehensive Industry Insights: Understand the healthcare system, career opportunities, and why medical billing is critical.
  • Essential Skills: Learn medical terminology, billing procedures, and how to navigate various insurance plans, including Medicare.
  • Hands-On Knowledge: Dive into hospital billing, legal issues, compliance (e.g., HIPAA), and how to handle audits and discrepancies.
  • Career Preparation: Explore certification options like the CMRS exam to stand out in the job market.

Why Choose This Course?

  • Easy to Follow: Complex topics simplified for beginners.
  • Practical Support: Access online forums and direct email support from your instructor.
  • Future-Proof Career: With 4 million new jobs projected in healthcare, medical billing skills are invaluable across industries like insurance and healthcare administration.

Whether you're starting fresh or expanding your expertise, this course offers the knowledge and tools to thrive in a dynamic field. Don't miss this chance to turn your ambition into action and secure your place in one of America's fastest-growing professions!

  • Completely Online
  • Self-Paced
  • 6 Months to Complete
  • 24/7 Availability
  • Start Anytime
  • PC & Mac Compatible
  • Android & iOS Friendly
  • Accredited CEUs
Universal Class is an IACET Accredited Provider
 
 

Course Lessons

Average Lesson Rating:
4.42 / 5 Stars (Average Rating)
"Extraordinarily Helpful"
(5,024 votes)

Lesson 1. The Expanding World of Healthcare Opportunities

The healthcare sector offers a wide array of career opportunities, ranging from life-saving roles to essential administrative positions, and is expected to create millions of jobs due to demographic shifts and technological advancements. Notable growth is anticipated in medical coding and billing, where skilled professionals ensure the financial health and regulatory compliance of healthcare operations. 24 Total Points
  • Review 2 Practice Worksheets
  • Lesson discussions: Reasons for Taking this Course
  • Assessment: Exam 1: Healthcare System Overview
  • Assessment: Lesson 1 Review Exam

Lesson 2. The Medical Biller's Essential Functions

In addition to managing billing intricacies, medical billers adapt to technology's unfolding landscape, overseeing processes enhanced by artificial intelligence. Education and networking pave the way for career advancement, underscoring the biller's pivotal role in comprehensive healthcare service delivery. Additional lesson topics: What does a Medical Coder Do? 25 Total Points
  • Assessment: Exam 2: Medical Biller Duties
  • Assessment: Lesson 2 Review Exam

Lesson 3. Comprehensive Blueprint of Medical Billing: Linking Providers to Payments

Medical billing is more than just coding; it requires a deep understanding of medical terminology and insurance protocols to ensure claim accuracy. By maintaining patient privacy and administrative efficiency, billers play a pivotal role in sustaining healthcare systems. Additional lesson topics: What is Medical Billing 25 Total Points
  • Review Practice Worksheet: 7550400rz48547.png
  • Assessment: Exam 3: Analyzing Provider and Patient Information
  • Assessment: Lesson 3 Review Exam

Lesson 4. Decoding Medical Codes: Navigating the ICD-10-CM and CPT Systems

The ICD-10-CM is significant in the global health landscape, essential for maintaining accuracy in health data and aiding public health policy formulation. Despite the introduction of ICD-11, many systems still rely on ICD-10-CM due to transition complexities, highlighting its continued global influence. Additional lesson topics: 2. ICD-10-CM Coding Origins 20 Total Points
  • Assessment: Exam 4: ICD-10-CM - What is it?
  • Assessment: Lesson 4 Review Exam

Lesson 5. Hospital Billing Unraveled

A hospital bill typically includes more than direct care costs, often bundling charges for room and board, ancillary services, and operational overheads, challenging patients to decipher itemized charges. Accurate documentation of service times, especially in operating rooms, is vital as it significantly influences billing accuracy and the patient's financial responsibility. 25 Total Points
  • Lesson discussions: Your Work Environment
  • Assessment: Exam 5: Hospital Billing
  • Assessment: Lesson 5 Review Exam

Lesson 6. The Complex World of Physician Billing: Understanding Key Processes

Intermediary clearinghouses have revolutionized billing accuracy by thoroughly reviewing claims before they reach insurance companies, curtailing errors, saving costs, and speeding up payment processes. These technological advancements highlight the importance of embracing innovations that streamline operations and uphold modern healthcare needs, benefiting providers and patients alike. Additional lesson topics: OIG; Understanding Medical Necessity 36 Total Points
  • Lesson discussions: OIG Overview
  • Complete Assignment: WEB-BASED TRAINING- Medicare Billing: Form CMS-1500 and the 837 Professional
  • Complete Assignment: CMS.GOV - Learn about CLIA
  • Assessment: Exam 6: Physician Billing
  • Assessment: Claims Filing Tips & Guidelines
  • Assessment: Lesson 6 Review Exam

Lesson 7. An In-Depth Exploration of Health Insurance Types and Their Impact on Healthcare Access

Government insurance programs like Medicare and Medicaid provide essential healthcare services to eligible populations, each with distinct coverage types and limitations. Navigating Medicare Parts A through D, along with Medicaid eligibility and billing standards, requires understanding of complex rules and procedures. Additional lesson topics: High Deductible Health Plan HDHP ; Tier Types; Paying Healthcare Providers: The Impact of Provider Reimbursement on Overall Care; What is a HMO Plan? Health Insurance Explained; What's the Difference Between an HMO and a PPO? 29 Total Points
  • Complete Assignment: CMS video: Proper Documentation in Claims
  • Assessment: Exam 7: Types of Health Insurance
  • Assessment: Lesson 7 Review Exam

Lesson 8. The Intricacies of Medicare: Navigating America's Senior Healthcare Backbone

Enrolling in Medicare at the right time—around age 65 or after receiving disability benefits for 24 months—ensures access to crucial healthcare coverage, with options to opt-out or delay certain parts based on individual circumstances. Special scenarios also permit earlier access for select groups, safeguarding those who require healthcare under unique conditions. Additional lesson topics: 1. Non-covered Medicare Items; 1. Medicare Coverage for Bone Mass Measurement; 1. Medicare Coverage for Mammography Screening; 2. Centers for Medicare and Medicaid Services CMS ; 1. Medicare Coverage for Wellness and Screening Tests/Exams; 1. Medicare Coverage for Colorectal Cancer Screening Tests; 1. Medicare Coverage for Pneumococcal Shot and Administration 44 Total Points
  • Complete Assignment: WEB-BASED TRAINING- World of Medicare
  • Assessment: Exam 8: Medicare
  • Assessment: Items & Services not Covered under Medicare
  • Assessment: Lesson 8 Review Exam

Lesson 9. Empowered Billing: The Role of Education and Advocacy in Healthcare

Continuous education and advocacy are pivotal for medical billers, equipping them to adapt to healthcare reforms and implement best practices. This commitment to learning enhances their ability to manage new technologies and collaborate constructively with healthcare teams. 65 Total Points
  • Review Practice Worksheet: MedicareFraudandAbusePresentationfr.ppt
  • Complete Assignment: WEB-BASED TRAINING- Combating Medicare Parts C and D Fraud, Waste, & Abuse
  • Complete Assignment: WEB-BASED TRAINING- Medicare Fraud & Abuse: Prevent, Detect, Report
  • Assessment: Exam 9: Legal Issues
  • Assessment: HIPAA
  • Assessment: Lesson 9 Review Exam

Lesson 10. Medical Billing and Coding Essentials

Medical billing and coding are foundational to healthcare, translating medical events into standardized codes to ensure smooth service coordination. This career offers growth opportunities and demands a blend of certification, training, and adaptability to thrive in this crucial field. Additional lesson topics: Office of Inspector General OIG 20 Total Points
  • Lesson discussions: Course Completion Poll: Your Thoughts; Program Evaluation Follow-up Survey (End of Course); Course Comments
  • Assessment: Lesson 10 Review Exam
313
Total Course Points
 

Learning Outcomes

By successfully completing this course, students will be able to:
  • Summarize the healthcare system and career opportunities in medical billing.
  • Summarize the medical biller job description.
  • Analyze provider and patient information.
  • Analyze the hospital billing process.
  • Describe billing the patient visit.
  • Summarize the different types of health insurance.
  • Summarize what Medicare is and how to bill it correctly.
  • Define legal issues.
  • Demonstrate mastery of lesson content at levels of 70% or higher.
 

Additional Course Information

Online CEU Certificate
  • Document Your Lifelong Learning Achievements
  • Earn an Official Certificate Documenting Course Hours and CEUs
  • Verify Your Certificate with a Unique Serial Number Online
  • View and Share Your Certificate Online or Download/Print as PDF
  • Display Your Certificate on Your Resume and Promote Your Achievements Using Social Media
Document Your CEUs on Your Resume
 
Course Title: Introduction to Medical Billing
Course Number: 7550400
Lessons Rating: 4.42 / 5 Stars (5,024 votes)
Languages: English - United States, Canada and other English speaking countries
Availability: Enroll in this course from any U.S. state, including California, Texas, Florida, New York, Pennsylvania, Illinois, Ohio, and Georgia. The course is also accessible to learners in English-speaking countries such as the UK, Canada, Ireland, Australia, and South Africa.
Last Updated: April 2024
Course Type: Self-Paced, Online Class
CEU Value: 1.7 IACET CEUs (Continuing Education Units)
CE Accreditation: Universal Class, Inc. has been accredited as an Authorized Provider by the International Association for Continuing Education and Training (IACET).
Grading Policy: Earn a final grade of 70% or higher to receive an online/downloadable CEU Certification documenting CEUs earned.
Assessment Method: Lesson assignments and review exams
Syllabus: View Syllabus
Course Fee: $120.00 U.S. dollars

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Student Testimonials

  • "My instructor, Diana Wilson, is terrific. She graded assignments and exams very quickly and always provided great feedback as needed. I'm happy to know that she will be my instructor for my next class." -- Liz F.
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  • "It was a helpful course." -- Freida C.
  • "The instructor was Awesome." -- Marilyn C.
  • "The course was great and so was the instructor." -- Chantel T.
  • "I found that all parts of this course were very helpful." -- Christine M.
  • "Since I had not taken this course before and had no knowledge to what it was about I thought all the materals were good." -- Debbie C.
  • "I think the instructor was very helpful to me and she would be to all who interested in this online course." -- Danielle H.
  • "I found everything very helpful, because like most students I went into this course blind, but came out with my eyes wide open." -- Danielle H.
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