Medical Billing 101

Michelle M. Rimmer, Owner, ABA Therapy Billing Services, LLC has over 25 years' experience in the medical billing industry. She has taught numerous courses and seminars at three colleges in the state of New Jersey. Her passion for teaching medical billing led to the fruition of Michelle's first textbook, Medical Billing 101. Crystal Clack, MS, RHIA, CCS has over twenty year’s experience working in the medical and health information management field. As front office staff, Clack worked in a student health center, to a scheduler, clerk and coder in high volume practices and hospitals. More recently, Clack has worked as a Health Information Management Director and a Coding and Charge Capture Manager where she partnered closely with coding, billing, and revenue cycle processes. Currently, she is doing what she loves and does best: teaching. Clack teaches health information management and coding classes at Lane Community College, Eugene, Oregon and is actively involved as a Director of Education in the Oregon Health Information Management Association. Linda Renfroe, RHIT, has spent over 25 years in the Health Information Management field. As a coder, Linda has worked in both large and small hospitals, long term care and home health. Ms. Renfroe gained additional leadership training when working at the Swedish Medical Center in Seattle, Washington, which opened the door for her to move beyond coding. Ms. Renfroe returned to school to further her career by earning a BA at University of Washington, which enabled her to work as an adjunct instructor at several Seattle-area community colleges teaching medical billing, coding, and medical terminology. In her spare time, Ms. Renfroe works as a volunteer for a nonprofit organization, focusing on teaching young people to be leaders in their community. She has also organized several local teen mission trips and helped others begin tutoring and mentoring sites to help children increase their reading skills.

1.Your Job as a Physician-Based Medical Biller.
2. Health Insurance and the Identification Card.
3. The Codes (CPT, HCPCS Level II, ICD-9, ICD-10 and Modifiers).
4. The Forms (Patient Registration, Superbill, Hospital Sheet).
5. The `Heart? of Medical Billing: the CMS-1500 Form.
6. Billing for Office Services and Procedures.
7. Billing for Inpatient and Nursing Facility Services.
8. Electronic Claims Submission and Clearinghouses.
9. EOBs and Payments.
10. Denials and Appeals.
11.Maintaining Accounts Receivable, Aging Reports, and Rebilling.
12.Collections and the State Insurance Commissioner.
Appendix I: SimClaim Case Studies for the CMS-1500 Form.
Appendix II: Forms.