Online course
Medical Billing Fundamentals
Medical Billing Fundamentals is a self-paced online course in medical billing and coding. It follows a claim through the whole reimbursement cycle — verifying the patient, coding the encounter, building and submitting the CMS-1500, posting what the payer sends back, and working the denials that come with the job.
Every topic is a video with the same material as a PDF you download and keep, so you can work at a desk or away from one. Around 35 billing office forms are included, ready to use as they are.
The reimbursement cycle
Claim paid Refused — appeal it
The full curriculum
All 83 lessons are listed below. Nothing is held back until you pay, and there is no syllabus to request.
| # | Topic | Lessons | Count |
|---|---|---|---|
| 01 | Health Insurance Plans Work out who is going to pay, and what they have agreed to cover, before anyone treats the patient. | Insurance types and payers; Indemnity, managed care and consumer plans; Referrals and preauthorizations; Medicare and government payers; Medicare Administrative Contractors; Crossover claims; Insurance verification; Coordination of benefits; Provider credentialing | 9 |
| 02 | Medical Coding Basics Turn what happened in the appointment into the codes an insurer will accept. | ICD-10 diagnosis codes and format; Medical treatment codes; Coding modifiers; Level I and II codes; Categories of codes; Practice management code entry; Medical coding errors; Bundled and unbundled codes; Upcoding and downcoding; Coding specificity; Medical necessity; Coding resources | 12 |
| 03 | Patient & Provider Info Get the practice and the patient set up so a claim can legally be sent at all. | Before claims can be filed; Setting up the provider; Credentialing and clearinghouse enrollment; Provider fee schedule; The superbill, and customising it; Setting up the patient; Verifying insurance; Minimum patient info; First visit patient forms | 9 |
| 04 | CMS-1500 Claim Form Fill in the standard claim form correctly, box by box. | Block-by-block description; When paper forms are used; Electronic claim conventions; Patient and insured info; Physician info; Electronic CMS-1500 video demonstration | 6 |
| 05 | Creating & Submitting Claims Send the claim, track it, and fix the ones that bounce straight back. | Claim standards; Entering the patient encounter; Creating claims; Uploading claims to the clearinghouse; Clearinghouse claim status; Correcting rejected claims; Claim attachments | 7 |
| 06 | Applying Payments Read the insurer's response, work out what they actually paid, and record it. | ERAs and EOBs; Copays, coinsurance and deductibles; Interpreting remittance advice; Explanation and reason codes; Posting insurance payments; Posting patient payments; Secondary claims; Auto-posting ERAs; Creating patient statements | 9 |
| 07 | Claim Problems & Patient Collections Chase the money that did not arrive, and appeal the claims that were refused. | Why claims don't get paid; Coding errors and error codes; Claim appeals; Patient collections; Insurance aging reports; Patient aging reports; Tracking unpaid claims | 7 |
| 08 | Compliance, Fraud & Patient Privacy Stay on the right side of patient-privacy law and of what counts as fraud. | HIPAA and HITECH laws; Administrative simplification; Physical, administrative and technical safeguards; Business associates and covered entities; Fraud and abuse - what's the difference | 5 |
| 09 | Practice Management Software Watch all of it done in the software a real billing office uses. | Coding in practice management software; Electronic CMS-1500 demonstration; Auto-posting ERAs | 3 |
| B | Dental Billing (bonus) A parallel track for dental practices, including its own claim form. | Dental terminology; Insurance; Dental procedure codes; Software; Helpful coding resources; ADA J430D dental claim form; Medical necessity; CMS-1500 special instructions | 8 |
| B | Hospital Billing (bonus) How facility billing differs from the physician side. | Differences from physician billing; Hospital services; Hospital and facility coding; Unique claim codes; Charge master; Reimbursement process; Prospective payment systems; UB-04 claim form (CMS-1450) by sections | 8 |
What it costs
One payment of $147.00, reduced from $247.00. There is no subscription and nothing renews. The dental and hospital billing modules — which the course lists at $200 — are included, as is the medical billing terms dictionary.
The free trial opens the material so you can judge it before paying.
Start the free trial No card needed
Who teaches it
Gina spent fifteen years in the insurance industry before starting and operating her own medical billing business from home. She built All Things Medical Billing to answer the questions she could not get answered when she began: what training you actually need, whether you have to know coding, what the work pays, and how to find the first client. You can read more about Gina, or get in touch before you decide.