Medical Billing Fundamentals

Mastering the fundamentals is the first step toward a successful career in the US healthcare industry. This module provides a comprehensive overview of the revenue cycle management (RCM) process, from initial patient registration to final claim resolution. You will gain a solid understanding of essential healthcare terminology, various insurance types, and the regulatory frameworks that ensure billing accuracy and compliance.

Module 1

• Introduction to US Healthcare
• Medical Billing Overview
• Revenue Cycle Management (RCM)
• HIPAA Basics
• CMS Overview
• AMA Overview
• AAPC Overview
• Insurance Basics

Module 2

• Patient Registration
• Insurance Verification
• Prior Authorization
• Referrals
• Medical Necessity

Module 3

• ICD-10-CM
• CPT
• HCPCS
• Modifiers
• Place of Service (POS)
• Type of Bill (TOB)
• Revenue Codes