BankOfMedicare University
Free Medical Billing and Reimbursement University
Learn the rules behind clean claims, coding systems, remittance, denials, appeals, Medicare compliance, and DME reimbursement from reviewed official sources.
Billing Fundamentals
Claims, code sets, eligibility, privacy, clean-claim controls, and payment basics.
New billers and cross-functional teams
Professional Claims
CMS-1500, 837P, place of service, provider roles, and professional claim logic.
Practices, suppliers, and professional billers
Institutional Claims
CMS-1450, 837I, type of bill, revenue lines, and institutional data relationships.
Hospitals and facility billing teams
Coding Rules
NCCI PTP, MUE, distinct-service modifiers, units, and code-set discipline.
Coders, auditors, and denial teams
Denials and Appeals
Remittance interpretation, root-cause triage, correction, reopening, and appeal workflow.
Denial and payment integrity teams
Medicare Compliance
Timely filing, prior authorization, MSP, ABNs, enrollment, and documentation.
Medicare operations and compliance staff
DME Reimbursement
HCPCS, DME MACs, coverage, orders, delivery, rental, replacement, and fee research.
DME suppliers and reimbursement teams
6 lessons
0 completed in this browser
The Medical Billing Claim Lifecycle
Follow a claim from scheduling and eligibility through coding, submission, adjudication, payment, denial, and follow-up.
ICD-10, CPT, and HCPCS: What Each Code System Does
Understand diagnosis, inpatient procedure, professional service, supply, drug, and equipment code-set roles without mixing them.
Clean Claim Scrubbing Checklist
Build a repeatable pre-submission review that catches demographic, provider, coding, authorization, and coordination errors.
HIPAA Privacy and Minimum-Necessary Billing Workflows
Use approved systems, role-based access, and minimum-necessary practices when handling claims and payment records.
Fee Schedule Amount vs Coverage and Payment
Separate a published payment reference from benefit category, coverage criteria, coding, documentation, and final adjudication.
Eligibility and Benefits: 270/271 Workflow
Use electronic eligibility as a point-in-time input while confirming plan, network, benefit, authorization, and COB details.