Life Cycle of the CMS-1500 Health Claim (004)

Medical Billing Courses


Description

This course walks the student through the process of obtaining reimbursement for a provider’s services from the time the appointment is made until the services are paid in full. The CMS-1500 form is the standard claim form that most insurance companies require to process the payment of outpatient medical services. This course focuses on providing the student with an understanding of all the fields on the CMS-1500 (rev 02-12) form, including the NPI (National Provider Identification), secondary insurance, and the modifier fields. Students will have the opportunity to complete the CMS -1500 paper claim form just as they would in a medical practice. This hands-on experience will help the student understand the concept of medical billing as it applies in the medical provider’s office. The course also covers billing patient balances, understanding and working aging reports and introduces students to information related to electronic medical records and e-prescribing.

Content
  • Unit 1 Gathering Information for a Claim
  • Unit 1 Gathering Information for an Insurance Claim Quiz
  • Unit 2 Completing the CMS-1500 Health Claim Form
  • Unit 2 Completing the CMS-1500 Health Claim Form Assignment #1
  • Unit 2 Completing the CMS 1500 Health Claim Form Quiz
  • Unit 3 Submitting the Claim to the Insurance Carrier
  • Unit 3 Submitting the Claim to the Insurance Carrier Quiz
  • Unit 4 Posting Payments, ERAs and EOBs
  • Unit 4 Posting Payments, ERAs and EOBs Quiz
  • Unit 4 Posting Payments, ERAs and EOBs Assignment #1
  • Unit 5 Tracking the Insurance Claim
  • Unit 5 Tracking the Insurance Claim Quiz
  • Unit 5 Tracking the Insurance Claim Assignment #1
  • Unit 5 Tracking the Insurance Claim Assignment #2
  • Unit 6 Handling Remaining Balance
  • Unit 6 Handling Remaining Balance Quiz
  • Unit 7 Electronic Health Records
  • Unit 7 Electronic Health Records Quiz
  • Life Cycle of the CMS-1500 Health Claim Form Final Exam
Completion rules
  • All units must be completed
  • Leads to a certification with a duration: Forever