KGP Consulting, LLC specializes in five major areas of Medical billing. We offer four classes in our Certificate Program. They are:
1. Introduction to Medical Insurance Billing
2. Advanced Medical Insurance Billing
3. Workers’ Compensation & Personal Injury
4. Computerized Medical Insurance Billing: A Home Study Course
We also have one class that is not a part of the Certificate Program and it is called,
Start Your Own Medical Billing Service.
Here is a more detailed look at our classes:
Introduction to Medical Insurance Billing
One of the physicians’ most valued employees is the one who does the insurance billing. Learn medical billing techniques and how to follow up and collect on billed claims. In this course you will learn how to:
• bill Medicare, Medicaid (MediCal in California), TRICARE and CHAMPVA
• complete the CMS 1500 (universal insurance claim form) used to bill insurance carriers
• keep current on changes on rules and regulation of government plans and where to take free continuing education courses offered by major insurance carriers
• read an Explanation of Benefits (EOB) and how to use it to bill secondary insurance carriers
• look up diagnosis codes, procedure codes and modifiers; codes are necessary for billing insurance carriers for payment reimbursement.
Materials fee: $69
Advanced Medical Insurance Billing
This workshop is for those students who have completed the Introduction to Medical Insurance Billing course or students who are already Billers and want to further their knowledge in medical billing. In this course you will learn:
• the difference between PPOs, HMOs, IPAs
and other managed care issues
• the ins and outs of contracting with managed care plans
• HCPCS coding – when to use these codes
• how to analyze and solve difficult billing
problems
• what is HIPAA – Health Insurance Portability & Accountability Act
• various issues of concern to Medical Billers
Prerequisite: Experience as a Medical Biller or completion of Introduction to Medical Insurance Billing
Materials fee: $39
Workers’ Compensation and Personal Injury
Learn how to bill California Workers’ Compensation and Personal Injury cases. Some of the areas this workshop will cover are:
• an overview of California’s Workers’
Compensation system
• filing Workers’ Compensation Appeals
Board Liens
• tips for screening patients up-front to minimize payment problems
• maximizing reimbursements
• turning objection letters into payments
• negotiating with attorneys on lien cases
• how to make sure the case is really “pending”
• billing automobile insurance carriers and personal injury cases
Prerequisite: Experience as a Medical Biller or completion of Introduction to Medical Insurance Billing and Advanced Medical Insurance Billing
Materials fee: $39
Computerized Medical Insurance Billing
(A Home Study Course)
Learning computerized medical insurance billing is done in the convenience of your own home. In this hands-on course you will have two weeks to learn how to set up a medical practice using your own computer (most students complete it within six to eight hours). You will have the assistance of an instructor (via e-mail) for any questions or concerns. In this hands-on course you will set up the following:
• practice and provider information
• practice superbill
• patient/guarantor information
• insurance companies to be billed
• post charges, payments and adjustments
• print insurance claims, patient statements
and management reports
• data base for electronic claims
You will meet the instructor for a 15-minute orientation to receive course material and practice software. (Windows 98 or above required)
Prerequisite: Experience as a Medical Biller or completion of previous classes.
Materials fee: $89
Start a Medical Billing Service
(Elective course)
Start your own medical billing service and work from your home! Medical billing services are in great demand because most medical practices receive most of their income from insurance companies. In this class you will learn:
• how to get clients
• how to set your fees
• what other services you could offer
• how to market your services
• where to obtain HIPAA compliant software
• what is a HIPAA Business Associate Agreement
• what billing organizations you can join
• how to obtain updates from insurance companies
• all about Sole Proprietorship, Partnership, Corporation and LLCs
Materials fee: $69
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