1. Role of an Insurance Billing Specialist
2. HIPAA Compliance and Privacy in Insurance Billing
Unit Two: The Claims Process
3. Basics of Health Insurance
4. Medical Documentation
5. Diagnostic Coding
6. Procedural Coding
7. The Paper Claim: CMS-1500
8. Electronic Data Interchange: Transactions and Security
9. Receiving Payments and Insurance Problem Solving
10. Office and Insurance Collection Strategies
Unit Three: Health Care Payers
11. The Blue Plans, Private Insurance, and Managed Care Plans
12. Medicare
13. Medicaid and Other State Programs
14. TRICARE and CHAMPVA
15. Workers' Compensation
16. Disability Income Insurance and Disability Benefit Insurance
Unit Four: Inpatient and Outpatient Billing
17. Hospital Billing
Unit Five: Employment
18. Seeking a Job and Attaining Professional Advancement