Institutional Medical Billing and Revenue Cycle Management

Master Institutional Medical Billing, Revenue Cycle Management, CMS 1450, UB 04, Facility Claims, Medical coding, & More

What you'll learn
- Map the full Institutional Billing workflow from registration to payment posting
- Complete and validate the UB-04 / CMS 1450 form with real-world accuracy
- Create clean 837I transactions and understand EDI handoffs to payers
- Distinguish Medicare Part A facility rules from professional billing rules
- Work facility claims through edits, scrubs, submissions, and remits (ERA/EOB)
- Perform AR calling, follow-ups, and timely filing best practices
- Execute payment posting, adjustments, refunds, and balance transfers
- Triage rejections & denials, write effective appeals, and reduce avoidable write-offs

Requirements
- Basic familiarity with healthcare billing or admin (helpful, not required)
- Reliable internet and a desktop/laptop for practice activities
- Willingness to learn payer rules (especially Medicare Part A) and documentation standards

Description
Institutional Medical Billing and Revenue Cycle Managementgives you a practical, end-to-end path to masteringInstitutional Billing, theUB-04 / CMS 1450form,837IEDIfiles,Medicare Part Arules,facility claimsworkflows,AR calling,payment posting, anddenial managementfor hospitals and facilities. If you’ve been searching for a hands-on guide to compliant, efficientRevenue Cycle Management(RCM) in institutional settings, you’re in the right place.

This course is designed to help learners of all backgrounds understand and apply the processes, forms, data files, and payer rules that drive facility reimbursement. Whether you're working in hospital billing, an ambulatory surgery center, skilled nursing, home health, or hospice, the program builds strong operational fluency in the language and mechanics of institutional RCM — with a focus on practical usage, not academic theory.

You’ll learn how claims move from patient registration through coding, charge capture, scrubbing, submission, remittance, and follow-up; how to complete and validate theUB-04 (CMS 1450); and how to create clean837Itransactions through clearinghouses and payer portals. We’ll also compareMedicare Part Afacility rules to professional billing, unpack common denial codes, and practice high-impactARworkflows that accelerate cash.

Designed to be beginner-friendly, this course offers clear explanations, job-ready checklists, and realistic examples from claims, remits, reconciliation reports, and payer correspondence to reinforce learning. No prior facility billing experience is required.

What You’ll Learn

Complete and quality-check theUB-04 / CMS 1450form

Build and transmit clean837Ifiles and interpret payer/clearinghouse responses

ApplyMedicare Part Apolicy and coverage rules to facility claims

Reconcile ERAs/EOBs and perform accuratepayment postingand adjustments

Run effectiveAR callingand follow-up sequences with timely filing control

Decode commonrejectionsvs.denialsand write concise, persuasive appeals

Use reports to monitor clean claim rate, DSO, denial rate, and cash acceleration

Implement compliance-first workflows that reduce risk and rework

Course Features

Structured walkthrough of theinstitutional RCMlifecycle with real artifacts

UB-04field-by-field guidance, plus quick-reference checklists and job aids

Hands-on837I/EDIconcepts, clearinghouse logic, and remit interpretation

Denial prevention playbooks and appeal templates for high-frequency issues

Beginner-friendly explanations; suitable for ESL learners and career switchers

Mobile/desktop access with downloadable resources you can use on the job

Who This Course Is For

Aspiring and currentfacility billersandRCMspecialists

Hospital/ASC/SNF/home health/hospice revenue cycle teams

Administrative professionals moving intoinstitutional billing

AR, posting, and denial management staff seeking a proven framework

This course serves as a practical, professional introduction toInstitutional BillingandRevenue Cycle Management— especially if you're preparing for a facility-side role or need a confident grasp ofUB-04,837I,Medicare Part A, and payer workflows. Whether you're new to the field or brushing up, you'll leave with job-ready tools to submit cleaner claims, post payments correctly, and win more denials.

Disclosure: This course contains the use of artificial intelligence for clear voiceovers.

Who this course is for:
- New and aspiring facility billers and RCM specialists
- Hospital, ASC, SNF, home health, or hospice billing staff
- Office admins transitioning from professional to institutional billing
- AR follow-up and payment posting teams seeking structure and speed
- Coding/billing students preparing for entry-level facility claims roles
- Managers cross-training teams on UB-04, 837I, and denial prevention
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