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Medical Billing Training Programs

If you are looking for a medical billing training program, you certainly have a number of options available to you. Some training programs allow you to obtain a degree in less than a year so you can enter the workforce quickly, but don’t assume these programs are inferior to longer ones. The quality of education you receive will depend on the school you attend and the types of classes offered at that educational facility. In general, you want to look for a school where the instructors have experience in the field. Additionally, here are some classes that should be offered by the program you enter.

Medical Insurance Systems

There are several types of insurance products on the market, and it is important that you know what they are. In this course, you should learn about PPOs (preferred provider organizations), HMOs (health maintenance organizations, and other insurance systems. The course should also teach you about ICD and CPT codes and deciphering patients’ charts so you can bill for the medical services they received.

Government Insurance Programs

According to Kaiser Permanente, over 80 million people were enrolled in Medicare and Medicaid in 2006. With an aging population, the number of people using government insurance programs will only increase. This class will teach you about processing claims for these and other government medical programs like Tricare, understanding key terms associated with these programs, and extracting payments from the relevant government agencies.

Electronic Data Interchange and Modifiers

As part of your duties, you will need to know how to process electronic claims. This course will show you how to handle electronic interchange and exchange on different claims systems. Typically, you will receive hands on training working with a claims clearinghouse.

Evaluation and Management of Medical Documentation

Interpreting medical invoices and managing documentation in the claims-to-payment process is an important part of your job as a medical biller. Students will learn how to read invoices, track down and collect on delinquent payments, medical terminology, and complying with worker’s compensation documentation laws among other things.

Medical Insurance Claim Forms

Just as there are several different types of insurance plans, there are a number of different insurance forms you will use to submit claims. Students taking this class will learn how to fill out the most common insurance claim forms and how to avoid the common mistakes made when entering information on forms such as the CMS-1500 and the UB-92. Typically, this class will provide hands-on experience with filling out various medical forms. It is a good idea to find out ahead of time what types you will be working with to make sure the most common forms will be covered.

Internship and Externship Opportunities

Gaining experience in the field is essential to your success as a medical biller or coder. Many medical billing and coding schools offer opportunities to participate in an internship or externship. These programs can help you obtain the experience employers require and may even lead to long-term employment after graduation if you do a good job. Before enrolling in a medical billing school, find out if they have connections in the medical community that provide externship or internship opportunities to students.

Always do your due diligence and thoroughly research any medical billing and coding school before spending time and money on it. It is a good idea to compare this list to the classes taught in the program. While the class names may be different, the information taught in those courses should be the same. Taking time to vet a school now will ensure you receive the education you need to secure employment later.