Fundamentals of Billing and Coding
By: SideCar, LLC

Course Description

Understanding the fundamentals to the many moving parts of the Revenue Cycle Management System is part of the foundation of every chiropractic business. This educational series provides clarity, value and tools to enable chiropractic businesses to understand and manage those need-to-know revenue cycle management components.

INTRODUCTION TO BILLING

1. RCM Introduction

2. Overview RCM Dysfunction

3. Dysfunction - Single Gatekeeper

4. Dysfunction - Baton Passing

5. Dysfunction - Insufficient Training

6. Dysfunction - Time Management

7. Dysfunction - Valuing RCM

8. Dysfunction - Grapevine

9. Dysfunction - Inefficient Billing

10. RCM Moving Parts

11. RCM Calendar


INTRODUCTION TO BILLING PART 2

1. Cleaning Up Accounts Receivable

2. Conducting Aetna Appeals

3. Claim Form Yellow Flags

4. Medicare Modifiers

5. Proper Diagnosis Coding

6. Orthotic Coding

7. Epley Maneuver Coding

8. Coding for Wellness/Maintenance Care

9. Outsourcing Billing

10. Coding and Fees

11. Responding to Record Request

12. Qualities of a CA


Fundamentals of Coding

1. Fundamentals of Coding Introduction

2. Component to your healthcare business

3. 7 Elements to a Payable Claim

4. Learning the Language of Coding

5. Fundamental Rules of Coding

6. Chiropractic Assistant Biller Role

7. Clean Claim Responsibility

8. Proper Communication on Claims

9. Know Your Payers

10. Medicare vs. Medicare Advantage

11. Importance of Payer Policies

12. Submitting Clean Claims

13. Controllable Errors

14. Claim Forms are revealing


Fundamentals of Coding PART 2

1. Common Form Risk Areas

2. Active and Passive Therapies

3. Manual Therapy

4. Timed Coding Guidelines

5. Insurance Verification

6. Reading EOBs

7. Introduction to Unproven Procedures

8. 7 Elements of a Payable Claim for Unproven Procedure

9. Unproven procedures Informed Consent

10. Laser Therapy

11. Hydrobed-Aqua Therapy

12. Kinesio Tape

13. Spinal Decompression

14. Dry Needling

Course Details

  • Fundamentals of Billing and Coding
  • By:    SideCar, LLC
  • Instructor:    Brandy Brimhall
  • Total CE Hours:    2
  • Course Format:     Online Distance Learning
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  • Course Categories:     DC Continuing Education
  • Course Subjects | CE HOURS:
    • Coding  -1 CE Hours
    • Risk Management  -1 CE Hours
  •    Course Outline