Medical Billing AR Training (MBAT)

AR Experience in developing the organizational, operational, and work flow structures necessary for hospitals and medical groups to contract, bill, and collect for the healthcare services they deliver. Enhancing these Revenue Cycle processes ultimately leads to improved financial performance and accelerated cash flow. Our hands-on expertise in assessing, restructuring, and managing this complex and essential function can boost the organization's revenue cycle efficiency, reduce days in accounts receivable, and improve cash flow.

TITLE	Medical Billing - AR Training
Course Duration	50 Hours
Course Availability	Weekend/Evening*
Medium of Instruction	English
Prerequisites	Graduate in Health care field/life sciences / FINAL YEAR STUDENTS / Any Degree and Diploma

Billing

Appeals
Denials
Claims tracking and follow-up
Timely filing
Demographics
Superbill/encounter forms
Retention of records
Balance billing
Telephone courtesy
Electronic claim submission
Clean claims
Audit the billing process

Types of Insurance

Managed care
Commercial payers
Medicare
Medigap
Medicaid
Blue Cross/Blue Shield
TRICARE/CHAMPUS
Worker’s compensation
Third party payers (automobile, liability, etc)

Billing Regulations

Accountable Care Organizations (ACO)
National Correct Coding Initiative (NCCI)
Local Coverage Determination (LCD)
National Coverage Determination (NCD)
Incident-to billing
Global packages
Unbundling
Completion of CMS1500
Completion of UB04e
Payer payment policies

HIPAA & Compliance

HIPAA privacy
Billing compliance
Medical record retention
Financial policies
Fraud and abuse

Reimbursement & Collections

RBRVS
Payer and patient refunds
Provider credentialing
Accounts receivable
Fair Debt
Patient statements
Patient dismissal
Professional courtesy
Collection agencies
Collections
Bankruptcy
Payment plans
Preauthorizations
Claim editing tools
Remittance advice

Coding

15 questions
CPT®
ICD-9-CM
HCPCS Level II
Modifiers

Case Analysis

CMS 1500 claim forms
Remittance advices
Payment policies
Local Coverage Determinations (LCD)
National Coverage Determinations (NCD)
Appeal letters
Preauthorizations
Accounts receivable reports
Claims follow-up reports