Certificate in Medical Claim Processing for Physicians
-- ViewingNowThe Certificate in Medical Claim Processing for Physicians is a comprehensive course designed to provide learners with the essential skills needed to excel in medical claim processing. This program covers the intricacies of claim processing, medical coding, and insurance billing, ensuring learners have a solid understanding of the industry's best practices.
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À propos de ce cours
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à 2-3 heures par semaine
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Détails du cours
• Medical Coding Basics: An introduction to medical coding, including an overview of coding systems such as ICD-10-CM, CPT, and HCPCS. This unit should cover the fundamental principles of medical coding and its role in the revenue cycle. • Medical Claim Processing: An explanation of the medical claim processing workflow, from the creation of a claim to its submission and subsequent reimbursement. This unit should cover common claim errors, claim follow-up procedures, and the role of the medical coder in the claim processing process. • Anatomy and Physiology: A review of human anatomy and physiology relevant to medical coding, including an understanding of body systems, common medical conditions, and related procedures. • Coding for Physician Services: A deep dive into coding for physician services using CPT codes, including an understanding of code selection, modifiers, and documentation requirements. • Medical Billing Software: An overview of medical billing software, with a focus on its use in medical claim processing, including claim creation, eligibility verification, and payment posting. • Compliance and Regulations: An introduction to compliance and regulations relevant to medical claim processing, including HIPAA, fraud and abuse laws, and coding guidelines. • Billing and Reimbursement: An explanation of billing and reimbursement, including an understanding of fee schedules, contracts, and payment arrangements. • Medical Record Documentation: A review of medical record documentation, including an understanding of the documentation requirements for coding and billing, as well as best practices for maintaining accurate medical records. • Appeals and Audits: An explanation of the appeals and audits process, including an understanding of the appeal process for denied claims and the role of audits in ensuring accurate coding and billing practices.
Parcours professionnel
Exigences d'admission
- Compréhension de base de la matière
- Maîtrise de la langue anglaise
- Accès à l'ordinateur et à Internet
- Compétences informatiques de base
- Dévouement pour terminer le cours
Aucune qualification formelle préalable requise. Cours conçu pour l'accessibilité.
Statut du cours
Ce cours fournit des connaissances et des compétences pratiques pour le développement professionnel. Il est :
- Non accrédité par un organisme reconnu
- Non réglementé par une institution autorisée
- Complémentaire aux qualifications formelles
Vous recevrez un certificat de réussite en terminant avec succès le cours.
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Frais de cours
- 3-4 heures par semaine
- Livraison anticipée du certificat
- Inscription ouverte - commencez quand vous voulez
- 2-3 heures par semaine
- Livraison régulière du certificat
- Inscription ouverte - commencez quand vous voulez
- Accès complet au cours
- Certificat numérique
- Supports de cours
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