Class Syllabus:  6 weeks/12 sessions


Session 1
A.  Billing vocabulary and terminology
B.  Patient demographics
C.  Insurance Verification
D.  Provider demographics
E.  Insurance Fee Schedules

Session 2 
A: CPT/ICD9/HCPCS and Modifier usage Basics
B: Clean submission of HCFA 1500 Claim Form
C.  Primary Claim submissions
D.  Secondary Claim submissions
E.  Worker' Compensation and Auto Insurance Submissions
F.  Tertiary Claims

Session 3
A: Unpaid Claim follow-up procedures
B: Resubmissions
C. Calling Insurance on unpaid claims

Session 4 
A: EOB posting - payments/adjustments/denials
B: Patient Balance Billing
C: Write-offs/adjustments
D: Corrected claims submissions
E:  Medical Records Requests

Session 5
A: Dealing with upset patients
B: Payment Plans
C: Indigent Care
D: Courtesy adjustments
E: Professional courtesy

Session 7 
A. Maintaining billing records
B. Scanning vs. filing
C. Matching EOBs/Charges to Computer input

Session 8
A. Start to finish - from the time the patient calls until the claim is paid
B. In-house billing versus Outsourcing billing department

Session 9
Continue Review

Session 10
Class Questions/Review

Session 11
Mock Testing/Veral

Session 12
FINAL EXAM