Laboratory Medical Billing, Coding & Compliance Masterclass

Gain job-ready skills in laboratory medical billing and revenue cycle management (RCM) with this comprehensive course. Perfect for individuals new to the field or seeking to advance their careers in the US healthcare industry. This laboratory-focused training provides a deep dive into the intricacies of lab billing, covering everything from initial lab orders and requisitions to final payment posting and denial prevention.

What You'll Master:

• Full RCM Lifecycle: Map the entire laboratory RCM lifecycle, from lab orders and testing to achieving a zero balance.
• Coding Expertise: Apply CPT/HCPCS and ICD-10-CM codes to a wide range of lab services and diagnoses.
• Claim Management: Build clean claims (CMS-1500/837P) and significantly reduce claim rejections and denials.
• Prior Authorization & Benefits: Effectively manage prior authorizations, eligibility verification, and benefits analysis.
• Payment Processing: Accurately post payments, reconcile ERAs/EOBs, and manage claim takebacks.
• Medicare Compliance: Navigate complex Medicare rules, including NCDs/LCDs, ABNs, and payer edits.
• Performance Tracking: Utilize dashboards to monitor key performance indicators (KPIs) like A/R aging and first-pass yield.
• HIPAA & Compliance: Operate within HIPAA regulations, and implement fraud/waste/abuse prevention strategies.

Course Highlights:

• 70+ Bite-Sized Videos: Easy-to-understand video lessons aligned with the lab billing workflow.
• Realistic Case Files: Practice with real-world scenarios including test panels, reflex testing, repeats, and add-ons.
• Downloadable Templates & Checklists: Reinforce learning with practical tools for clean claim checks, medical necessity documentation, and denial playbooks.
• Medicare Policy Walkthroughs: Detailed explanations of Medicare policy, including NCD/LCD guidelines and ABN examples.
• Technology Module: Understand clearinghouses, EHR interfaces, and rule engines.
• Career Resources: Access resume tips, interview questions, and a starter portfolio to boost your job search.

Who Should Take This Course?

• Aspiring Medical Billers & Coders: Kickstart your career in medical billing and coding.
• Current Lab RCM Staff: Enhance your skills in revenue cycle management within a laboratory setting.
• AR Callers & Payment Posters: Improve efficiency and accuracy in accounts receivable management.
• Denial & Appeals Specialists: Master strategies for denial prevention and successful appeals.
• Prior Authorization Teams & Front Office Staff: Streamline prior authorization processes.
• Lab Managers & Practice Owners: Gain insights into optimizing your lab billing operations.
• Healthcare IT Analysts: Support billing and claims processes within EHR systems.
• Students in US Healthcare: Explore a specialized career path in lab billing.

Disclosure: This course utilizes artificial intelligence for clear voiceovers.