BEST BILLING COURSE FOR BEGINNERS

CERTIFIED PROFESSIONAL BILLERS (CPB) COURSE

This course offers fresh graduates an opportunity to explore the healthcare industry in the United States and secure
highly paid career prospects in reputable medical billing companies and online business ventures. Designed for
individuals with good English proficiency and no prior experience in the field, this course enables students to quickly
grasp medical billing processes and medical concepts.

COURSE DURATION

This course will be completed in 60 Hours.

PREREQUISITES

Minimum of Bachelor Degree Holder, with having sound English proficiency,

TRAINING PLAN
COURSE OBJECTIVES
  • Gain a comprehensive understanding of the healthcare system and the fundamental concepts of medical billing in the Context of United States.
  • Learn about different health insurance models, including HMOs, PPOs, EPOs, and others, and analyze their impact on medical entities.
  • Understand the legal and regulatory considerations involved in healthcare reimbursement and collections, including HIPAA, ACA, and other relevant laws.
  • Learn the follow-up process for accounts receivable in a physician’s office, including identifying and addressing common insurance carrier denials and understanding their appeals process.
COURSE CONTENT
Introduction to Medical Billing and Coding

CPB course and its significance in Medical Billing- Target Audience: Healthcare administrators, Biller, coding professional Qualification? Minimum Bachelor degree for job purposes only. Scope: Healthcare industry growth, EHRs, specialization, Remote work

Account Receivable Management

Follow up with Insurance companies Phone calls & IVR expertise Denial Resolutions Aging reporting in excel Major Practice KPIs Insurance polices and guidelines Resolutions of rejections.

HIPAA Compliance

HIPAA Security Rule HIPAA Privacy Rules Protected Health Information- PHI Minimum Necessary Rules

Revenue Cycle Management

Appointment scheduling Patient registration process
Superbills and claims encounters
Verification of Benefits
Claim forms, HCFA, UBO4
Claim adjudication process

Healthcare Plans Coverages

Major commercial plans Government programs, Medicare & Medicaid Third Party Administrators Plan Major Networks, In network, Non Par Motor Vehicle Insurance Coverages Worker Compensation

Provider Credentialing & Enrollment

The whole process of enrolling providers with commercial payers and Government payers such as Medicare and Medicaid.

RECOMMENDED TEXTBOOKS

HCPCS Level II Professional 2024 (HCPCS Level II- AMA Publisher CPT Professional 2024- AMA Publisher.

ICD-10-CM 2024 the Complete Official Codebook (ICD-10-CM -AMA Dictionary, any publisher

MODE OF TRAINING

Online & Onsite
Quiz will be conducted online and onsite

COURSE ENROLMENT FEE

Course Enrolment Fee is 4000 PKR: Payment is due in full at time of enrolment. Fees listed do not include any recommended textbooks/supplies or computer requirements, which are to be purchased separately by the
student.

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