Pharmbills Academy

1.1 Overview of Medical Billing

1.2 Medical Billing Terminology and Meanings

1.3 The Medical Billing Process

1.4 Medical Billing Payment Process and Claim Cycle

1.5 Eligibility Verification Form

1.6 TYPES OF INSURANCE COVERAGE_Updated 2023 (1)

1.7 AR Analyst Role in Medical Billing Claims Review Process

1.8 Payment Posting Process

1.9 Claim Problems

1.10 Medicare Reconsideration Form

1.11 Claim Review Form

1.12 How to Read an Explanation of Benefits

Medical Billing Process Mismatch Test

1.13 What is the Billed Amount

1.14 What is the Allowed Amount

1.15 Understanding Explanation of Benefits (EOB)

1.16 EOB sample #1

1.17 EOB sample #2

1.18 Understanding Medicare & Medicaid - Provider Reimbursement

1.19 Verification of Benefits

1.20 Modifers for Billing

1.21 Coding with Modifiers

1.22 CPT Modifiers

1.23 What Happens After Adjudication. Insurance Claims Processing

1.24 Claims Adjudication

1.26 MEDICARE and MEDICAID explanations

1.25 HOW TO PREPARE FOR THE INTERVIEW

What is Prior Authorization

2.0 PRIOR AUTHORIZATION

2.1 How Deductibles Co-Insurance and Copays Work

2.2 2023 Evaluation and Management Requirements and Policies

2.3 UB04 Claim Form Tips

2.4 How to Complete an UB04 Claim Form

2.5 Blank UB04 Form

2.6 Revenue Codes for UB04 Claims

2.7 DRG Diagnostic Related Group

True or False statement Test

The HIPAA Privacy Rule

3.1 HIPAA RULES FOR PHONE CALLS

3.2 The 11 MOST Common HIPAA Violations

3.3 Call Guidelines and Etiguette Script (2)

3.4 POTENTIAL BILLING PROBLEMS AND RETURNED CLAIMS

3.5 Resolving Claim Problems

3.6 Common Errors Causing Denials on Claims for Payments

3.7 Timely Filing Limit

3.8 What is Timely Filing in Medical Billing

Quiz

4.1 Denial Codes in Medical BIlling

4.2 Appeal Letter

4.3 Medical Office Terminology Meanings

4.4 Understanding the Health Insurance Claim Process

4.5 Ask a Biller_ Episode 1 - Contracting with Insurance Companies

4.6 What is AR in Healthcare_ _ Medical Billing Terms

4.7 Ask a Biller Episode 9 - Rejections and Denials

5.1 Billing

5.2 Medicare EOB Page 1 (2)

5.3 Medicare EOB Page 2

5.4 UHC EOB 11.24.2020

5.5 What is the Billed Amount_ _ Healthcare Medical Billing

5.6 What is the Allowed Amount_ _ Healthcare Medical Billing

5.7 What are capitated payments_

Final Test

Survey on the course