Global Certificate in Medical Claim Processing Efficiency
-- ViewingNowThe Global Certificate in Medical Claim Processing Efficiency course is a comprehensive program designed to enhance the skills of healthcare professionals in managing medical claims. This course emphasizes the importance of efficient and accurate claim processing, a critical aspect of the healthcare revenue cycle.
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โข Medical Coding Basics: Understanding ICD, CPT, and HCPCS codes, code assignment, and code modifiers.
โข Medical Claim Processing Workflow: Overview of claim submission, processing, and payment.
โข Claim Form Completion: Completing CMS-1500 and electronic 837 claim forms accurately.
โข Claim Editing and Error Correction: Identifying and correcting common claim errors.
โข Medicare and Medicaid Billing: Billing guidelines and requirements for government payers.
โข Third-Party Insurance Billing: Billing procedures for private insurance companies.
โข Patient Billing and Payments: Collecting patient payments, handling adjustments, and managing accounts.
โข Compliance and Audits: Maintaining compliance with regulations, documentation requirements, and preparing for audits.
โข Medical Claim Processing Efficiency: Strategies for improving efficiency in medical claim processing.
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