Online Medical Billing Courses

Online Medical Billing Courses

PMRNC has been providing medical billing resources and education since 2001. Our courses are online and complete with quizzes, assignments and a final exam for each course. Our online medical billing courses are meant for those who have decided to start a career in medical billing or healthcare administration. Many students go on to start their own medical billing business upon completion of our medical billing courses. Below, you will find a complete description of each course offered as well as a complete listing of each unit within the selected course. Each course can be purchased separately, or you can purchase our E-Master Learning Series which consists of all courses at a significant discount. Each medical billing course comes with its own certificate of completion once all units, assignments and tests are completed. Our learning management system allows the student to monitor their progress, email instructors and receive live feedback on assignments, quizzes and tests. We also provide an integrated online chat system which allows the student to talk to an instructor so they can receive instant help. If an instructor is  not available via our online chat system you can leave an offline message and one of our instructors will get back to you as soon as possible. Our medical billing course students will also receive a phone number to speak with an instructor live during regular business hours.

One of things that sets our medical billing courses apart from the others is that we offer the best instructional support! Our instructors are available evenings and weekends to accommodate our student’s busy schedules! Work directly with instructors who have been in the medical billing business for decades!

Below, please find a listing of all of our medical billing courses and certifications. If you require additional assistance or have questions about our medical billing educational products, you may click on the online chat at the bottom left hand side of your screen. We can also be contacted by phone at the phone number listed at the top of our website. Medbillerscourse.com is owned and operated by PMRNC and you can visit us there at www.billerswebsite.com. You may also contact our director of education; Merry Schiff at Merry@medbillerscourse.com 

Medical Billing, An Introduction

Medicalbilling_intro

  • Course Description
  • Units
  • Enroll Now

Medical insurance is financial protection against loss due to injury and or illness. It is a written policy between two parties; an insurance company and either an individual or sometimes a company. This course reviews the different types of plans such as commercial, government plans, and managed care plans. Terminology used in the medical billing field is also explained so that the student can have a basic understanding of some of the information needed to continue with this extensive course.

  • Unit 1 An Overview of Health Insurance Plans
  • Unit 1 Overview of Health Insurance Plans Quiz
  • Medical Billing an Introduction – Terminology
  • Unit 2 An Overview of Commercial and Managed Care Plans
  • Patient Pre_screen Sample Unit 2
  • Unit 2 an Overview of Commercial and Managed Care Insurances Assignment #1
  • Unit 2 An Overview of Commercial and Managed Care Plans Quiz
  • Unit 3 Overview of Government Health Plans
  • Unit 3 An Overview of Government Insurances Quiz
  • Unit 4 Overview Other Insurances Plans
  • Unit 4 An Overview of Other Insurance Plans Quiz
  • Unit 5 NPI and Taxonomy
  • Unit 5 NPI Numbers and Taxonomy Codes Unit 5 Assignment
  • Unit 5 NPI Numbers and Taxonomy Codes Quiz
  • Unit 6 Physician Credentialing
  • Unit 6 Participating Vs. Non-Participating in the Medical Billing Process Quiz
  • Unit 7 The Medical Claims Process
  • Unit 7 The Medical Claims Process – Assignment #1
  • Unit 7 The Medical Claims Process – Assignment #2
  • Unit 7 The Medical Claims Process Quiz
  • Unit 8 Career Opportunities within the Medical Billing Industry
  • Medical Billing An Introduction Final Exam

Understanding Health Insurance 

Health_Insurance

  • Course Description
  • Units
  • Enroll Now

This course focuses on the basics of health insurance by introducing students to the differences between the common types of insurance plans for medical insurance. Private plans including commercial insurance are discussed. Workers’ Compensation, a type of insurance that pays medical expenses and partial loss of wages for workers injured on the job is also reviewed. COBRA, the law that provides continuation coverage for people who were terminated and covered under a group health plan is reviewed. The differences between managed care and commercial insurance are also covered. Medical terminology relevant to the basics of health insurance/medical billing is introduced in this course.

  • Unit 1 Blue Cross Blue Shield
  • Unit 1 Blue Cross Blue Shield Quiz
  • Unit 1 Blue Cross Blue Shield Assignment #1
  • Unit 2 Commercial Insurance
  • Unit 2 Commercial Insurance Quiz
  • Unit 2 Commercial Insurance Assignment #1
  • Unit 3 Managed Care
  • Managed Care Quiz
  • Unit 3 Managed Care Assignment #1
  • Unit 3 Managed Care Assignment #2
  • Unit 3 Managed Care Assignment #3
  • Unit 4 Coordination of Benefits (COB)
  • Unit 4 Coordination of Benefits Quiz
  • Unit 4 Coordination of Benefits (COB) Assignment #1
  • Unit 5 Workers’ Compensation
  • Unit 5 Workers’ Compensation Quiz
  • Unit 5 Workers’ Compensation Assignment #1
  • Unit 6 Auto, No-Fault, Personal Injury & Protection (PIP), and COBRA
  • Unit 6 Auto/No-Fault, Personal Injury Protection (PIP), and COBRA Assignment #1
  • Unit 6 Auto, No-Fault, Personal Injury Protection (PIP), and COBRA Assignment #2
  • Unit 6 Auto, No-Fault, Personal Injury & Protection (PIP), and COBRA Quiz
  • Understanding Health Insurance Final Exam

Coding and Modifiers for the Medical Biller

medical_coding

  • Course Description
  • Units
  • Enroll Now

This course focuses on the building blocks of the language of medical coding; diagnosis codes (ICD-10-CM: International Classification of Diseases) procedure codes (CPT-4: Current Procedural Terminology), and the national HCPCS: (Healthcare Common Procedure Coding Systems). Modifiers, which are specific numbers that are appended to the procedure codes, are reviewed as well. Medical decision making, which refers to the complexity of establishing a diagnosis and procedure(s) for a patient will be taught. Though a medical biller does not usually do any coding, the student needs to know the process of how the medical provider determines the codes for submitting to the insurance company and well as documenting these codes in the patients’ medical record. Medical terminology relevant to these coding systems that are used for medical billing is covered.

  • Unit 1 Introduction to Coding- ICD-10 CM
  • Unit 1 ICD-10 Codes – Assignment #1
  • Unit 1 ICD-10 Codes – Assignment #2
  • Unit 1 ICD-10 Codes Quiz
  • Unit 2 ICD-9 CM Codes
  • Unit 2 ICD-9 CM Codes Assignment #1
  • Unit 2 ICD-9 CM Codes Assignment #2
  • Unit 2 ICD-9 Codes Quiz
  • Unit 3 Current Procedural Terminology, CPT-4 Codes
  • Unit 3 Current Procedural Terminology, CPT-4 Codes Quiz
  • Unit 3 Current Procedural Terminology, CPT-4 Codes Assignment
  • Unit 4 HCPCS – Healthcare Common Procedure Coding System
  • Unit 4 HCPCS – Healthcare Common Procedure Coding System Quiz
  • Unit 4 HCPCS – Healthcare Common Procedure Coding System Assignment
  • Unit 5 Modifiers
  • Unit 5 Modifiers – Assignment
  • Unit 5 Modifiers Quiz
  • Unit 6 E&M Codes (Evaluation & Management)
  • Unit 6 E&M Codes (Evaluation & Management) Assignment #1
  • Unit 6 E&M Codes (Evaluation & Management) Assignment #2
  • Unit 6 E&M Codes Quiz
  • Unit 7 Bundling/Unbundling, Up & Down-Coding, and Carrier Edits
  • Unit 7 Bundling/Unbundling, Up & Down-Coding, and Carrier Edits Assignment #1
  • Unit 7 Bundling/Unbundling, Up & Down-Coding, and Carrier Edits Assignment #2
  • Unit 7 Bundling/Unbundling, Up & Down-Coding, and Carrier Edits Quiz
  • Coding and Modifiers for the Medical Biller – Final Exam

 

 

Life Cycle of the CMS-1500 Health Claim Form

CMS_1500

  • Course Content
  • Units
  • Enroll Now
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.

  • 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

Understanding Medicare, Medicaid and TRICARE

Medicare_Billing_Course

  • Course Contents
  • Units
  • Enroll Now

Medicare sets the billing standards for all insurance companies. Learn how Medicare providers and suppliers are reimbursed for the items and services that they furnish, as well as how Medicare determines the services that they will deny. This course will focus on the different types of Medicare plans, Original Medicare (Part A and Part B), Medicare Advantage Plans (identified as Part C or MA), and Medicare Part D (PDP or Prescription Drug Plan). The differences between Medicare Part A (which includes hospitals, skilled nursing homes, hospice, and home health services) and Part B (provider billing, radiology and laboratory services, as well as speech, occupational, and physical therapy services, and DME [Durable Medical Equipment]) are addressed. Allied health care providers, such as chiropractors, podiatrists, optometrists, and some mental health care professionals, also participate in the Medicare program. These services and their payment methods are also discussed. In some cases, Medicare is the not the primary insurance; Medicare Secondary Payer is also thoroughly reviewed. Terms and expressions related to Medicare are covered. Medicaid, which is the federal and state funded medical assistance program is covered. This plan is designed to provide comprehensive medical care with special emphasis on children, pregnant women, the elderly, and the disabled. TRICARE, the insurance for (active and retired military and their dependents) is covered in this course.  This course focuses on the specific rules, procedures and forms required for the proper submission of reimbursement under these types of insurance plans. Specific case scenarios are utilized to enhance the student’s understanding of the reimbursement of medical claims.

  • Unit 1 Medicare Eligibility and Enrollment
  • Unit 1 Medicare Eligibility and Enrollment Assignment #1
  • Unit 1 Medicare Eligibility and Enrollment Quiz
  • Unit 2 Medicare Part A
  • Unit 2 Medicare Part A Assignment #1
  • Unit 2 Medicare Part A Quiz
  • Unit 3 Medicare Part B
  • Medicare Unit 3 Medicare Part B Assignment #1
  • Unit 3 Medicare Part B Assignment #2
  • Unit 3 Medicare Part B Quiz
  • Unit 4 Medicare Advantage Plans – Medicare Part C and Part D
  • Unit 4 Medicare Advantage plans – Medicare Part C And Part D Assignment #1
  • Unit 4 Medicare Advantage Plans – Medicare Part C and Part D Quiz
  • Unit 5 Medicare for the Actively Employed and/or Disabled
  • Unit 5 Medicare for the Actively Employed and/or Disabled Assignment #1
  • Unit 5 Medicare for the Actively Employed and/or Disabled Assignment #2
  • Unit 5 Medicare for the Actively Employed and/or Disabled Quiz
  • Unit 6 Medicaid
  • Unit 6 Medicaid Assignment
  • Unit 6 Medicaid Quiz
  • Unit 7 TRICARE
  • Unit 7 TRICARE Assignment
  • Unit 7 TRICARE Quiz
  • Unit 8 Recovery Audit Program
  • Unit 8 Recovery Audit Program Quiz
  • Unit 9 Quality Payment Programs
  • Medicare, Medicaid and TRICARE-Final Exam

Reading EOBs, Working Denials and Filing Appeals

Appeals_EOB_Course

  • Course Description
  • Units
  • Enroll Now

One of the most important functions of a medical billing professional is to learn how to read Explanation of Benefits (EOBs) and work the claims denial process (when an insurance claim has been submitted to the medical insurance company and the claim has been rejected and not paid or not paid appropriately. Every commercial insurance company has their own process as there are no standards in this industry. Filing appeals generally have a time limit for submitting requests and usually must include documentation to support the request for payment. These processes probably take more time in the “life of a medical biller” than any other functions they perform.

  • Adjustment Request Form
  • SampleEOB
  • Unit 1 Reading Remittances and EOBs
  • Unit Remittance Advices Quiz
  • Unit 2 Data Entry of Remittance Notices and Explanation of Benefits
  • Unit 2 Data Entry of Remittance Notices and Explanation of Benefits Quiz
  • Unit 3 Denied and Rejected Claims
  • Unit 3 Denied and Rejected Insurance Claims Quiz
  • Unit 4 Common Reasons for Denials and Rejections
  • Unit 4 Common Reasons for Denials and Rejections Quiz
  • Unit 5 Adjustment Requests for Medical Insurance Claims
  • Unit 5 Adjustment Requests for Medical Insurance Claims Assignment #1
  • Unit 5 Adjustment Requests for Medical Insurance Claims Assignment #2
  • Unit 5 Adjustment Requests for Medical Insurance Claims Quiz
  • Unit 6 The Appeals Process
  • Unit 6 The Appeals Process Assignment #1
  • Unit 6 The Appeals Process Assignment #2
  • Unit 6 The Appeals Process Quiz
  • Reading EOBs, Working Denials, and Filing Appeals Final

 

HIPAA and other Federal Regulations for the Medical Biller

HIPAA_course

  • Course Content
  • Units
  • Enroll Now

This course focuses on HIPAA standards designed to protect the security and confidentiality of electronic health information, including medical records and medical bills. Relevant HIPAA terminology is presented as well as a review of the forms needed by a medical practice to be HIPAA compliant. HIPAA guidelines regarding the continuity and portability of health insurance is addressed as well as the distinction between fraud and abuse. The overall impact of HIPAA on the medical billing industry is reviewed. Other statutes such as the Affordable Care Act, Stark Law and the False Claim Act as well as fraud and abuse are also discussed.

  • Unit 1 Overview of HIPAA
  • Unit 1 Overview of HIPAA Quiz
  • Unit 1 Overview of HIPAA Assignment #1
  • Unit 1 Overview of HIPAA Assignment #2
  • Unit 2 HIPAA Covered Entities and Business Associates
  • Unit 2 HIPAA Covered Entities and Business Associates Quiz
  • Unit 2 Sample Business Associates Agreement
  • Unit 2 HIPAA Covered Entities and Business Associates Assignment #1
  • Unit 2 HIPAA Covered Entities and Business Associates Assignment #2
  • Unit 3 HIPAA Privacy
  • Unit 3 Sample of Notice of Privacy Practices (NPP)
  • Unit 3 HIPAA Privacy Assignment #1
  • Unit 3 HIPAA Privacy Assignment #2
  • Unit 3 HIPAA Privacy Quiz
  • Unit 4 HIPAA Security
  • Unit 4 HIPAA Security Quiz
  • Unit 4 HIPAA Security Assignment #1
  • Unit 5 Other Statues, Acts and Legislation
  • Unit 5 Other Statues, Acts and Legislation Quiz
  • HIPAA and Other Federal Regulations for the Medical Biller Final Exam

 

Certified Healthcare Reimbursement Exam (C.H.R.S.)

CHRS

  • Exam
  • Rules
  • Enroll Now

The C.H.R.S. Exam is an open book/resource exam comprised of 300 questions. These questions all relate to the medical billing process. Questions in this exam include such topics as types of insurance plans, Medicare Part A and B, payments and adjustments, fraud and abuse, Coordination of Benefits, provider types, CPT, HCPCS and ICD-10 codes, federal regulations such as HIPAA, Usual and Customary, allowable charges, EHR, assignment of benefits, Medicare eligibility, E&M coding, general medical billing acronyms and so much more. This exam assumes that the student already has a good understanding of medical billing and/or have experience in the medical billing field. Each student is allowed two attempts to complete this exam. Certifications attest to the knowledge of a medical biller and show their commitment to staying up-to-date in a frequently changing industry.

The C.H.R.S. exam is open/book and open resource. Students may utilize any reference of their choice, but should be sure that the references used are reputable and trustworthy. Full support is available to students taking their exam. Each student is given two attempts to score at least 85% in order to receive their C.H.R.S. designation. Students are not able to print or skip ahead in the exam. Once a question is answered you may not go back and change an answer. Students should take their time and research any question you may not be clear about. You will have 90 days from the date of your enrollment to complete. Students who enroll in the C.H.R.S. will receive a six month PMRNC membership with the purchase of the C.H.R.S. Additionally students who Purchase both the C.H.R.S. and C.H.I.S. together will  receive a one year PMRNC membership.

Enroll Now  $199 or purchase Both the C.H.R.S. and the C.H.I.S for $249 and save $149

Certified HIPAA Information Specialist Exam (C.H.I.S.)

CHIS_

  • Exam
  • Rules
  • Enroll Now

The C.H.I.S. exam is comprised of 150 questions all relating to HIPAA and how it affects both a covered entity as well as a business associate. It is assumed that the student taking this exam will have a background in the medical billing industry and understand the importance of HIPAA compliance in either a medical office setting or even as a medical billing company. Certification attests to the medical biller’s education and commitment to continued education of this extremely important and federal regulation.

The C.H.I.S. exam is open/book and open resource. Students may utilize any reference of their choice, but should be sure that the references used are reputable and trustworthy. Full support is available to students taking their exam. Each student is given two attempts to score at least 85% in order to receive their C.H.I.S. designation. Students are not able to print or skip ahead in the exam. Once a question is answered you may not go back and change an answer. Students should take their time and research any question you may not be clear about. You will have 90 days from the date of your enrollment to complete. Students who enroll in the C.H.I.S. will receive a six month PMRNC membership with the purchase of the C.H.I.S. Additionally students who Purchase both the C.H.R.S. and C.H.I.S. together will  receive a one year PMRNC membership. Continuing Educational Units are required each calendar year as well as maintaining your PMRNC membership. You may find the rules regarding CEU’s as well as an FAQ on our certification exams by clicking HERE.

Enroll Now  $199 or purchase Both the C.H.R.S. and the C.H.I.S for $249 and save $149

Bundle up and $ave

PMRNC E-Master Online Medical Billing Course Series

  • Course Series Includes:
  • Enroll Now

The E-Master Learning Series includes all seven courses above. Each course will include a certificate of completion. Students will have full access to our course instructors throughout their studies. With the purchase of the PMRNC E-Master Learning Series, student’s will also receive 90 days free support and coaching upon completion of their courses. This bundle also includes a one -year membership to PMRNC which will allow you unlimited access to all of our resources!  That is a $79.99 value! (Current PMRNC members will receive a one year free renewal). Save $124.00 by purchasing the E-Master Online Medical Billing Course Series Today!

Enroll Now, $599  Save $124.00! (click on “Get all for $599) at the top of the page.)

PMRNC Certification Series

CHRS_CHIS

  • Certification Series Includes:
  • Enroll Now

The PMRNC Medical Billing Certification Series includes both the C.H.R.S. and C.H.I.S. Certification Exams. Descriptions of both can be found above. With the purchase of the certification series you will also receive a one-year PMRNC membership. Full support is provided throughout your certification enrollment. Save $149 by purchasing both exams. For certification FAQ’s please refer to our FAQ page.

Enroll Now!  Save $149 (click on get all for $249.00) at the top of the page.

 

 

All course and exam enrollment fees are final. Absolutely no refunds. If you need an extension to begin or complete your course or exam, please email us at students@medbillerscourse.com Dismiss