Online Class: Introduction to Medical Billing

In this medical billing course, you'll learn all about the basics of medical billing, such as: how to accurately complete claim forms, pay billing insurance companies, and adhere to each insurance carrier's policies and procedures.

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  • 10
    Lessons
  • 19
    Exams &
    Assignments
  • 8,978
    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

Did you know that every year in the United States alone that healthcare insurers process over 5 billion claims for payment?  Right now, healthcare in America is an explosive industry and with the upcoming Presidential elections, once again, healthcare is on everyone's mind.  There has never been a better time for individuals who are looking for terrific employment opportunities to enter the workforce with specialized skills in the medical field.

Right now, within the health care sector known as Health Information Management (HIM), health information technicians (which are the coders who are involved with medical billing) are projected to be one of the 20 fastest growing occupations in the United States.

In addition to that, four million jobs within the healthcare industry will open and medical billing is one area that is going to remain in very high demand.

This course is designed for those people who have little or no knowledge about medical billing.  You will be walked through every step of the process and it will be presented in layman's terms.  In other words, you don't need a medical degree to understand what this course will teach you just a desire to expand your knowledge. 

There has never been a better time to take advantage of the tremendous opportunities that are available and this course will provide an ideal preparation environment for anyone interested in this booming area in the health and medical administration industry.  This is a perfect first step for someone looking to find a new employment opportunity that is both rewarding and exciting.

The student who takes this course will gain an understanding of the healthcare industry and what it takes to be involved with medical billing.  With both online forums and with email support from the instructor, students will be able to expand their knowledge and expertise.  This is an ideal way for someone involved in fields such as insurance to expand their knowledge of the billing process and take that knowledge further in their own company.

Students will be exposed to such areas as:

        Overview of healthcare system and career opportunities in medical billing:  Students will be given the employment statistics for the healthcare industry, as well as understand the importance of education and training and discover where those opportunities exist.  In addition, they will see how medical billers are on the rise and learn the difference between medical billers and medical coders.

        Provider and patient information:  The student will learn more about what it means to be a medical biller, as well as gain some medical terminology, and explore what third party payers are and how they fit into the overall picture of medical billing.

        Hospital billing:  Students will learn about the ways that hospitals handle their billing procedures and will explore such aspects as the hospital chargemaster and examine the Healthcare Price Transparency Act.

        Billing the visit:  The student will learn about the billing process as it relates to medical treatment and will explore how to deal with establishing rates, what to do in the event of a billing discrepancy, as well as examine how billing is submitted and what a post-payment audit is.

        Different types of health insurance:  Students will examine the four basic types of plans, and will investigate the differences between them, as well as understanding which plan a client possesses.

        Medicare overview:  The student will learn what Medicare is, as well as the history of Medicare and how it currently works.  Enrollment in Medicare will be addressed, as well as how the billing process works also taking a close look at the appeals process and what is new in the Medicare program.

        Legal issues:  As with anything involving the medical community, emphasis should be paid to such aspect as legal issues.  Students will examine the current healthcare climate and learn what protections are given to consumers today.  Compliance with Health Insurance Portability and Accountability Act (HIPAA) will be addressed, as well as the difference between a billing oversight and outright fraud.  Students will also examine the insurance company reimbursement process.

        Certification information:  Students will learn what it takes to make the grade as a medical biller, as well as the requirements for becoming a certified medical reimbursement specialist (CMRS) and what is in the CMRS exam and where students can get more information on studying for it.

Although it might appear to be complex, this course is actually very easy to understand and there is always a wealth of information that can be shared through either online forums or with the instructor. 

  • 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"
(4,994 votes)

Lesson 1: Overview of the Healthcare System & Career Opportunities in Medical Billing

4 Points
Overview of the Healthcare System and Career Opportunities in Medical Billing & Coding
  • Lesson discussions: Reasons for Taking this Course
  • Assessment: Exam 1: Healthcare System Overview

Lesson 2: Medical Biller Job Description

5 Points
Analyzing the job description and requirements of medical billers. Additional lesson topics: What does a Medical Coder Do?
  • Assessment: Exam 2: Medical Biller Duties

Lesson 3: Analyzing Provider and Patient Information

5 Points
Analyzing Provider and Patient Information Additional lesson topics: What is Medical Billing
  • Assessment: Exam 3: Analyzing Provider and Patient Information

Lesson 4: ICD-10-CM - What is it?

10 Points
What is ICD-10-CM - a comprehensive review.
  • Assessment: Exam 4: ICD-10-CM - What is it?

Lesson 5: Analyzing the Hospital Billing Process

5 Points
Analyzing the Hospital Billing Process
  • Lesson discussions: Your Work Environment
  • Assessment: Exam 5: Hospital Billing

Lesson 6: Analyzing the Physician Billing Process

34 Points
Analyzing the Physician Billing Process Additional lesson topics: Understanding Medical Necessity; CLIA Booklet; OIG
  • 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: CLIA Waived Tests

Lesson 7: Exploring Different Types of Health Insurance

9 Points
Exploring Different Types of Health Insurance Additional lesson topics: Tier Types; Paying Healthcare Providers: The Impact of Provider Reimbursement on Overall Care; What's the Difference Between an HMO and a PPO?; High Deductible Health Plan HDHP ; What is a HMO Plan? Health Insurance Explained
  • Complete Assignment: CMS video: Proper Documentation in Claims
  • Assessment: Exam 7: Types of Health Insurance

Lesson 8: Medicare Overview

24 Points
Medicare Overview Additional lesson topics: Centers for Medicare and Medicaid Services CMS ; Preventive and Wellness Services Overview; Services not Covered by Medicare; Medicare Wellness Visits
  • Complete Assignment: WEB-BASED TRAINING- World of Medicare
  • Assessment: Exam 8: Medicare
  • Assessment: Items & Services not Covered under Medicare

Lesson 9: Reimbursement & Legal Issues

45 Points
Reimbursement & Legal Issues
  • 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

Lesson 10: Medical Billing & Coding Certifications Information

0 Points
Medical Billing & Coding Certifications Information Additional lesson topics: Office of Inspector General OIG ; CLIA Certificate of Waiver Information
  • Lesson discussions: Course Completion Poll: Your Thoughts; Program Evaluation Follow-up Survey (End of Course); Course Comments
141
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 (4,994 votes)
Languages: English - United States, Canada and other English speaking countries
Availability: This course is available online in all U.S. states, including California, Texas, Florida, New York, Pennsylvania, Illinois, Ohio, and Georgia. It’s also offered in English-speaking countries, including the UK, Canada, Australia, and New Zealand.
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.
  • "This service and educational platform is top notch and I love the self pace. Staff is professional, courteous and accredited. This site is the best kept secret." -- Ameena A.
  • "I have already recommended this course to my friends and family." -- Brittany D.
  • "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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