Learn how to bill and code patient charts effectively to increase revenue.

Understand billing criteria and codes to reduce denied claims and save time.

Gain the skills to overcome billing frustrations and step out of your comfort zone.

The Essential Private Practice Coding & Billing Blueprint

This course is designed for beginner private practice healthcare providers who want to take control of their billing processes. You didn't go to school to become a billing expert, but now you can learn how to effectively bill and code patient charts to maximize revenue. Say goodbye to claim rejections and the frustration of navigating billing criteria and codes. It's time to unlock your revenue potential and focus on what truly matters - providing excellent patient care.

Course Curriculum

25 Chapters · 81 Lessons

  1. 1

    Beginner's Guide

    1. (Included in full purchase)

      Course Objectives:

  2. 2

    Introduction to Medical Coding & Revenue Cycle Management (RCM)

    1. (Included in full purchase)

      What is RCM & Medical Coding?

  3. 3

    Key Coding Systems: HCPS, CPT, ICD

    1. (Included in full purchase)

      HCPCS Codes (Healthcare Common Procedure Coding System)

    2. (Included in full purchase)

      CPT Codes (Current Procedural Terminology)

    3. (Included in full purchase)

      ICD Codes (International Classification of Diseases)

    4. (Included in full purchase)

      Video Overview

    5. (Included in full purchase)

      Quiz

  4. 4

    Modifiers, POS & TOS

    1. (Included in full purchase)

      Modifiers

    2. (Included in full purchase)

      Place of Service (POS)

    3. (Included in full purchase)

      Type of Service (TOS)

    4. (Included in full purchase)

      Video Overview

    5. (Included in full purchase)

      Quiz

  5. 5

    Medical Necessity & Coding Errors

    1. (Included in full purchase)

      Medical Necessity

    2. (Included in full purchase)

      Coding Errors

  6. 6

    Summary:

    1. (Included in full purchase)

      Topics Discussed:

  7. 7

    Advanced Coding for NP

    1. (Included in full purchase)

      Learning Objective:

  8. 8

    Common CPT Codes Used:

    1. (Included in full purchase)

      List of Commonly Used CPT Codes:

  9. 9

    Evaluation and Management (E/M) Codes for Nurse Practitioners (NPs)

    1. (Included in full purchase)

      New Patient vs. An Established Patient

    2. (Included in full purchase)

      E/M CPT Codes for NP

    3. (Included in full purchase)

      E/M Code Selection: Time & Complexity

  10. 10

    E/M: New & Established Patient Office Visit Codes

    1. (Included in full purchase)

      New Patient Visit Codes

    2. (Included in full purchase)

      Established Patient Visit Codes

    3. (Included in full purchase)

      Pro Tip & Common Mistakes

    4. (Included in full purchase)

      Time Based Billing for Prolonged Service

    5. (Included in full purchase)

      Quiz

  11. 11

    Psychotherapy Codes

    1. (Included in full purchase)

      Psychotherapy CPT Codes

    2. (Included in full purchase)

      Time Based Psychotherapy Coding

    3. (Included in full purchase)

      Psychiatric Diagnostic Evaluation (with/without medical services)

    4. (Included in full purchase)

      90791/90792 vs. E/M Codes

    5. (Included in full purchase)

      Quiz

  12. 12

    Time Based CPT Codes

    1. (Included in full purchase)

      Key Time Based CPT Codes

    2. (Included in full purchase)

      Time Based Add-on Codes

    3. (Included in full purchase)

      Interactive Complexity: CPT Code 90785

    4. (Included in full purchase)

      Prolonged & Advance Care Services

    5. (Included in full purchase)

      Quiz

  13. 13

    Chronic Care Management Codes

    1. (Included in full purchase)

      Key CCM Codes

    2. (Included in full purchase)

      CCM: Billing & Documentation

    3. (Included in full purchase)

      Non Face-to-Face CPT Codes

    4. (Included in full purchase)

      Quiz

  14. 14

    Summary

    1. (Included in full purchase)

      Brief Summary

  15. 15

    Medicare & Injection Billing: HCPCS, CPT, and NDC Codes

    1. (Included in full purchase)

      Key Medicare Notes

    2. (Included in full purchase)

      Understanding NDC Codes

    3. (Included in full purchase)

      NDC Codes in Billing

    4. (Included in full purchase)

      Case Studies

  16. 16

    Billing for Smoking Cessation and Substance Abuse Counseling

    1. (Included in full purchase)

      Smoking Cessation Counseling

    2. (Included in full purchase)

      Substance Abuse Counseling & Treatment

  17. 17

    ICD Coding for Nurse Practitioners (NPs)

    1. (Included in full purchase)

      Introduction to ICD coding

    2. (Included in full purchase)

      Primary & Secondary Diagnoses

    3. (Included in full purchase)

      Key ICD Coding Considerations

    4. (Included in full purchase)

      Video Overview

    5. (Included in full purchase)

      Quiz

  18. 18

    Common Modifiers Used by NP

    1. (Included in full purchase)

      Common Modifiers List

    2. (Included in full purchase)

      Modifiers for E/M Services & Postoperative Period

    3. (Included in full purchase)

      Modifiers for Procedural Distinction & Reductions

    4. (Included in full purchase)

      Modifiers for Laterality & Bilateral Procedures

    5. (Included in full purchase)

      Modifiers for Professional vs. Technical Components

    6. (Included in full purchase)

      Modifiers for Telehealth & Remote Services

    7. (Included in full purchase)

      Modifier GT & Modifier 95 - A Comparison

    8. (Included in full purchase)

      Quiz

  19. 19

    NCCI Edits

    1. (Included in full purchase)

      Understanding NCCI & Modifier Use for NP

    2. (Included in full purchase)

      Tools for Checking NCCI Edits

    3. (Included in full purchase)

      Key Takeaways

    4. (Included in full purchase)

      Video Overview

    5. (Included in full purchase)

      Quiz

  20. 20

    Preoperative & Postoperative Periods

    1. (Included in full purchase)

      Understanding Preoperative & Postoperative Periods

    2. (Included in full purchase)

      Example Scenarios

  21. 21

    POS & TOS

    1. (Included in full purchase)

      Place of Service (POS)

    2. (Included in full purchase)

      Type of Service (TOS) Codes

    3. (Included in full purchase)

      Example Scenarios

  22. 22

    Patient Communication & Documentation

    1. (Included in full purchase)

      Understanding & Importance

    2. (Included in full purchase)

      Best Practices

    3. (Included in full purchase)

      Communication with Patients

    4. (Included in full purchase)

      Common Denials & Solutions

  23. 23

    AR Follow-Up & Appeal Submission Process for NP

    1. (Included in full purchase)

      AR Follow-Up and Appeal Submission Process for Nurse Practitioners

    2. (Included in full purchase)

      CMS 1500 Form – Key Details for Appeals and Corrected Claims

    3. (Included in full purchase)

      Effective AR Follow-Up and Appeal Submission Strategies

    4. (Included in full purchase)

      Video Overview

    5. (Included in full purchase)

      AR Quiz

  24. 24

    Course Summary

    1. (Included in full purchase)

      Key Takeaways

    2. (Included in full purchase)

      Video Overview

  25. 25

    Quiz for the Entire Training

    1. (Included in full purchase)

      Grand Quiz

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