Professional Certificate in Medical Claim Processing Fundamentals
-- ViewingNowThe Professional Certificate in Medical Claim Processing Fundamentals is a crucial course for individuals interested in healthcare administration. This program covers the essentials of medical claim processing, an in-demand skill as the healthcare industry continues to grow.
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โข Medical Terminology: Understanding common medical terms, abbreviations, and codes.
โข Medical Billing Basics: Overview of medical billing, claim processing, and revenue cycle management.
โข Insurance Fundamentals: Learning about various insurance types, policies, and coverage.
โข Coding Systems: ICD-10, CPT, and HCPCS codes, their structure, and application.
โข Billing Software: Introduction to using medical billing software and electronic health records (EHRs).
โข Claim Processing Steps: Preparing, submitting, and following up on medical claims.
โข Claim Rejections and Denials: Identifying and addressing claim rejections and denials.
โข Compliance and Audits: Overview of regulatory requirements, HIPAA, and compliance audits.
โข Appeals and Audit Resolutions: Strategies for appealing claim denials and resolving audits.
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