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MedCertify - Medical Billing & Insurance Reimbursement

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Consistent cash flow is critical in a healthy outpatient medical practice, and the HCFA-1500 insurance claim form represents from 85% to 95% of the reimbursement flow back to the practice. The form is driven by the medical insurance billing specialist either electronically or manually and gets to the insurance company quickly or slowly respectively.

The medical biller is the key player in the financial operations of the medical office is involved in many aspects from writing office policy to institute the billing standards for the medical practice, submitting claims, interfacing with the customers and insurance companies, to working with the physician or hospital staff to insure proper billing is done. Billers need to know insurance rules and regulations for various insurance plans, Medicare, Medicaid, and third-party payers.

This course is designed to help you learn all of the clerical functions that a medical biller performs in order to process the HCFA-1500 form quickly and accurately. It also covers understanding source documents and the insurance "claim cycle", claim submission, the TRICARE and CHAMPVA programs, workers' comp programs, receiving payments and problem solving, as well as learning how to work with others from staff and patients to insurance company representatives.

This course includes the following elements:

2 Video-Based eLearning Lectures Medical Billing & Insurance Reimbursement; MedCertify
    The following elements are recommended, but optional:

    Textbook Medical Insurance Billing & Coding An Essentials Worktext; Fordney, ISBN 978-0721695167
    We recommend purchasing from
      Note: This program has prior approval of the American Academy of Professional Coders for 6.0 Continuing Education Units. Granting of this approval in no way constitutes endorsement by the Academy of the program, content or the program sponsor.


      Available Options

      SINGLE USER: Medical Billing & Insurance Reimbursement (2 lessons)
      1 YR ONLINE$179.00Add To Cart
      CD-ROMs$179.00Add To Cart
      Multi User: Medical Billing & Insurance Reimbursement (2 lessons)
      Makau Course Cover - Box Shot  
      CD-ROMs$358.00Add To Cart

      Course Instructor: Cyndi Stahl

      Cyndi Stahl is a physician based certified coder with both the American Academy of Professional Coders (AAPC) and the American Health Information Management Association. (AHIMA) She has over 16 years in the medical profession. Her experience includes Billing and Reimbursement supervision, Practice Management and Consulting. She is currently president elect for the Central Indiana Chapter of the American Academy of Professional Coders.

      Course Outline

      Medical Billing & Reimbursement Level 1
      • Introduction to Medical Billing
      • Fundamentals of Health Insurance Coverage
      • Insurance Claim Cycle
      • Documentation & the Medical Record
      • The Health Insurance Claim Form
      • Fees: Private Insurance & Managed Care
      Medical Billing & Reimbursement Level 2
      • Introduction
      • Medicaid Program
      • Medicare Program
      • Workers’ Compensation
      • Patient Billing
      • Tracking Reimbursement