Global Certificate in Medical Claim Processing & Technology
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⢠Medical Coding: An introduction to medical coding systems, including ICD-10 and CPT, and their role in medical claim processing.
⢠Claims Processing: Understanding the medical claims process, from submission to payment, including common issues and challenges.
⢠Medical Billing Software: Overview of popular medical billing software, including features, benefits, and best practices for use.
⢠Compliance and Regulations: A review of federal and state regulations related to medical claim processing, including HIPAA and fraud prevention.
⢠Data Analysis: Techniques for analyzing medical claims data to identify trends, errors, and opportunities for improvement.
⢠Customer Service: Strategies for managing patient inquiries and resolving claim-related issues in a timely and professional manner.
⢠Medical Terminology: Foundational knowledge of medical terminology to support accurate coding and claims processing.
⢠Appeals and Audits: Processes for appealing denied claims and preparing for medical audits, including documentation requirements and appeal strategies.
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