Strategic Medical Billing Foundation

Understanding your hospital bills, How to improve medical billing performance, Medical billing challenges and solutions

What you'll learn

Tips for improving medical billing performance

Tips for choosing the right medical billing service

Proactive medical billing tips to maximize revemue

Key medical billing challenges and solutions

Medical billing business plan

Electronic billing

Soft skills for medical billing and coding specialist

Requirements

No special requirement

Desire to learn detail about medical billing

Description

   Medical billing is the process of generating healthcare claims to submit to insurance companies for the purpose of obtaining payment for medical services rendered by providers and provider organizations. We must understand that a knowledgeable medical biller can optimize revenue performance for the physician practice or healthcare organization. When billings are completely than following good billing protocols patients accept the billings in good faith. After translating a healthcare service into a billing claim, the medical biller follows the claim to ensure the organization receives reimbursement for the work the provider performed. The medical billing process can be broken down into stages, as front-end and back-end. The front-end billing takes place pre-service whilst the back- end billing occurs after the provider sees the patient. The medical billing process also requires accuracy, knowledge of coding guidelines, and familiarity with insurance policies to ensure timely and accurate reimbursement for healthcare services rendered. In order to be clear on the payment of a medical billing claim, the health care provider or medical biller must have complete knowledge of different insurance plans that insurance companies are offering, and the laws and regulations that preside over them. The process of confirming financial responsibility ascertains which medical practices are covered in a patient's insurance policy.

Overview

Section 1: Introduction

Lecture 1 Introduction

Lecture 2 What is medical billing

Lecture 3 History of medical billing

Lecture 4 Medical billing process

Lecture 5 Types of medical billing

Lecture 6 Medical coding versus medical billing

Lecture 7 Reason to start a medical billing and coding career

Lecture 8 How does medical insurance billing work

Lecture 9 Understanding your hospital bills

Lecture 10 Medical billing tips

Lecture 11 Soft skills for medical coding and billing specialist

Lecture 12 Ways medical billing companies can increase profitability

Section 2: 3 Tips For Improving Medical Billing Performance

Lecture 13 Implement value-based service and promptly collect what is owed

Lecture 14 Prevent claims denials by understanding payer requirement

Lecture 15 Correct and resubmit past claim denials

Section 3: Tips For Choosing The Right Medical Billing Service

Lecture 16 Introduction

Lecture 17 Key features to look for when choosing a medical billing service

Lecture 18 How much do medical service cost

Lecture 19 The role of medical billing service in health practices

Lecture 20 Top medical billing service

Lecture 21 Evaluating medical billing service experience, technology and service

Lecture 22 Understanding the training and certification of staff

Lecture 23 Considering the medical billing services client support

Lecture 24 Additional key factors to consider

Lecture 25 Evaluating the customer service of medical billing success

Section 4: 6 Proactive Medical Billing Tips To Maximize Revenue

Lecture 26 Introduction

Lecture 27 Establish a clear collections process

Lecture 28 Manage claims properly

Lecture 29 Minimize coding errors

Lecture 30 Promptly handle denied or reject claims

Lecture 31 Look for ways to improve

Lecture 32 Known when to outserve

Section 5: 6 Key Medical Billing Challenges And Solutions

Lecture 33 Documentations and coding errors

Lecture 34 Insurance claim denials and rejections

Lecture 35 Compliance with regulatory requirements

Lecture 36 Slow reimbursement process

Lecture 37 Managing accounts receivable

Lecture 38 Keeping up with technology advancement

Section 6: Medical Billing Business Plan

Lecture 39 Strategy implementation summary

Lecture 40 Competitive edge

Lecture 41 Marketing strategy

Lecture 42 Promotion strategy

Lecture 43 Marketing programs

Lecture 44 Strategic alliances

Section 7: Conclusion

Lecture 45 Electronic billing

Patients, medical billers, medical coders, health workers, insurance companies, hospitals, clinics, governments, health administrators, students, health consultants etc.