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Industry Leading Education for Healthcare Professionals
All registered users will have access to valuable career and business resources, and connections with like-minded professionals. You will have access to our online course content as well as group discussion forums. You will be equiped with the resources, training and education you need to enhance your agency’s performance and expand your professional development opportunities.
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Home Health Medical Billing
This course introduces students to health insurance and reimbursement in the home health industry.
- Become familiar with Traditional Medicare Home Health Insurance
- Legal and Regulatory Issues
- Understand Differences in Reimbursement Methodologies
- Learn Principles of Medical Billing Related Claim Form Preparation, Submission and Payment Processing
Credentialing and Contract Negotiations Billing
This course introduces students to credentialing and contracts in the healthcare industry.
- Become familiar with Medical Credentialing / Insurance Credentialing
- Medicare, Medicaid, Commercial insurances, CAQH
- Hospital Privileging
- Negotiate rates with your in-network insurances
- Third party pricing out of network Claims
- And more!
Hospice Billing
This course will cover the entire concept of Hospice to provide a basic knowledge of what hospice is, and will give the student the foundation to understanding the billing cycle from beginning to end.
- Health Care Law and Hospice Regulations
- The Evolution of Hospice
- The Hospice Benefit
- Codes
- Claims
- And more!
Physician Billing
This course introduces students to physician billing. Physicians and other healthcare providers all depend on medical billing and coding for insurance carrier reimbursement.
- Intro to International Classification of Diseases, Clinical Modifications & Coding Guidelines
- Introduction to the organization and use of the ICD-10, and CPT manuals
- Basics of diagnostic and procedural coding
The Health Insurance Claim Form (CMS 1500) - HIPAA and Electronic Data Interchange (EDI)
- And more!
Durable Medical Equipment Billing
This course introduces students to DME (Durable Medical Equipment) protocols in the healthcare industry.
- Become familiar with new laws and regulations
- Document Review
- Claims Management
- Ensure proper claims submission
- Price table configuration and cash posting
- Compliance of DME Provider paperwork
- And more!
Ambulance Billing
This course introduces students to EMS/ Ambulance billing collections.
- Learn the differences between facilities billing, or billing to Private Insurance, Private Pay or Medicare/Medicaid
- HIPAA and HITECH compliance protocols
- Compliance Policies and Procedures
- CAD/ePCR systems
- And more!
Physician Therapy Outpatient Billing
This course introduces students to Physical Therapy Outpatient protocols in the healthcare industry.
- Become familiar with International Classification of Diseases (ICD)
- Current Procedural Terminology (CPT)
- PT Billing Terminologies
- Claim Tracking
- Introduction to Clearinghouse integration
- EOB and payment posting
- And more!
Nursing Homes and Rehab Billing
This course introduces students to Nursing Homes and Rehab. Students will learn about ICD-10-CM and Management coding for SNF encounters.
- Become familiar with new laws and regulations
- ICD-10-CM guidelines
- CPT codes and modifiers
- Evaluation and Management coding
- And more!
Healthcare Facility Billing
This course introduces students to unique requirements for healthcare facility billing. Federal laws and regulations require hospitals to maintain uniform charge structures.
- Understanding Charges vs. Payments
- U.S. Congress hospital payment rates
- State governments hospital payment rates
- Private insurance payment rates
- Tax-exempt hospital billing requirements
- Understanding Payments vs. Cost
- Medicare and Medicaid payments
- And more!
Pharmacy Lab Billing
This course introduces students to Pharmacy Lab Billing.
- Become familiar with new laws and regulations
- The history of pharmacy and healthcare
- Understanding the types of pharmacies including the hospital pharmacy, retail practice, long-term care practice, mail order pharmacy, home care pharmacies
- Learn pharmacy billing terminologies
- CPT Codes
- Policies and Procedures
- And more!
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PMBi is dedicated to providing industry leading education to keep you informed, and performing at the highest level of success.