5. Learn how to ana­lyze and opti­mize proper cod­ing (pro­ce­dure and diag­no­sis codes) to avoid rejec­tion & denials

6. Learn how to review and ana­lyze the rea­sons for unbilled and or aged med­ical claims

7. Beside learn­ing the med­ical ter­mi­nolo­gies, you should also know many “med­ical billing” terms and its mean­ing: (PCP, copay, co-insurance, deductibles, allowed amounts, pre­de­ter­mi­na­tion, med­ical neces­sity, progress notes, prog­no­sis, treat­ment plan, preau­tho­riza­tion, appeals, refer­rals, scripts, ben­e­fits and eli­gi­bil­ity, cap­i­ta­tions, HMOs, PPOs, POS, EPOHIPAA)

8. Learn how to prop­erly post: – pay­ments, deductibles, co-insurance, adjust­ments and write-offs (it is dif­fer­ent when you are actu­ally at work doing the post­ings than what you learned dur­ing your training)

9. Feel the med­ical billing sce­nario (how is the cash flow? what about the turn-around time of payments?)

10. And the last but not the least, feel the work— do you like what you do? Do you have the abil­ity and the man­age­r­ial skill to run your business?

Writ­ten By: Pinky Mcbanon