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F&S SKILL ACADEMY
Accounts Receivable
Accounts receivable (AR) in medical billing typically covers various aspects related to managing and optimizing the revenue cycle within a medical practice or healthcare facility. Here's a breakdown of the content that might be included in such a course. Account receivable also very important part of USA Healthcare.
- Course Length: 32 Classes (Online and Offline)
- Classes Hours: 2 hrs
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FNS covering below mentioned content in Account Receivable
Modules We Cover
1. Introduction
- Introduction to Medical Billing and Account Receivable.
- Overview of medical billing processes and terminology.
- Introduction to the revenue cycle in healthcare.
2. Roles and Responsibilities
- Understanding the role of accounts receivable in medical billing.
- Responsibilities of AR specialists or managers.
3. Medical Coding Basics
- Fundamentals of medical coding (CPT, ICD-10 CM, and HCPCS).
- Importance of accurate coding for AR management.
4. Claim Submission Process
- Step-by-step process of submitting claims to insurance companies.
- Electronic versus paper claim submission.
5. Insurance Verification and Eligibility
- Importance of verifying patient insurance coverage.
- Techniques for verifying insurance eligibility.
- Demographic
6. Billing and Reimbursement Guidelines
- Understanding billing guidelines set by Medicare, Medicaid, and Commercial insurers.
- Compliance with billing regulations and standards (e.g., HIPAA).
7. How we follow-up on Unpaid Claims
- Strategies for tracking and following up on unpaid claims.
- Handling claims denials, rejections, and appeals.
8. Denial Management
- Common reasons for claim denials and rejections.
- Techniques for resolving denials and minimizing future occurrences.
9. Payment Posting and Reconciliation
- Process of posting payments received from insurance companies and patients.
- Reconciliation of payments with outstanding balances.
10. Aging Reports and Analysis
- Generating and analyzing accounts receivable aging reports.
- Identifying trends and patterns in unpaid claims.
11. Revenue Cycle Management (RCM)
- Overview of the revenue cycle and its components.
- Optimizing the revenue cycle for improved financial performance.
12. Software and Technology
- Utilization of medical billing software and technology.
- Training on specific billing software platforms.
13. Case Studies and Practical Exercises:
- Real-world case studies illustrating AR management challenges and solutions. (Live calling)
- Hands-on exercises to apply concepts learned in the course.
14. Continuous Improvement and Best Practices
- Strategies for continuously improving AR performance.
- Best practices for maintaining efficient and effective accounts receivable processes.
15. Final Assessment and Certification
- Generating and analyzing accounts receivable aging reports.
- Identifying trends and patterns in unpaid claims.
16. Job Training for 10 Days
17. Placement by FNS side.
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