Course Title: Medical Billing & Coding for OPD Services

Duration: 4 Weeks (1 Month)

Course Designed By: Skillversity

Course Overview:

This course provides an in-depth understanding of medical billing and coding processes in an outpatient department (OPD). It covers key coding systems, insurance claim processing, compliance regulations, and revenue cycle management to ensure accuracy and efficiency in healthcare financial transactions.

Learning Objectives:

By the end of this course, learners will:

• Understand the fundamentals of medical billing and coding for OPD services.

• Learn how to use ICD, CPT, and HCPCS coding systems accurately.

• Process insurance claims and handle reimbursements efficiently.

• Ensure compliance with medical billing regulations and avoid fraud.

• Improve revenue cycle management in OPD settings.

Weekly Course Structure:

Week 1: Introduction to Medical Billing & Coding

• Module 1: Overview of Medical Billing in OPD Services

• Module 2: Basics of ICD, CPT & HCPCS Coding Systems

• Assessment: Coding exercise using sample OPD case files

Week 2: Insurance Claims & Reimbursement Processing

• Module 3: Understanding Health Insurance & Claim Submission

• Module 4: Managing Claim Denials & Appeals

• Assessment: Practical case study on processing an insurance claim

Week 3: Compliance & Fraud Prevention in Billing

• Module 5: Legal & Ethical Aspects of Medical Billing

• Module 6: Preventing Billing Errors & Fraudulent Claims

• Assessment: Compliance checklist exercise

Week 4: Revenue Cycle Management & Certification

• Module 7: Improving OPD Revenue Cycle & Payment Collection

• Module 8: Final Assessment & Certification

• Final Assessment: Real-world scenario on OPD billing workflow

Benefits of the Course:

• Accuracy in Billing & Coding: Reduce claim denials and improve efficiency.

• Better Financial Management: Optimize revenue cycle for OPD services.

• Legal Compliance: Stay updated with healthcare billing regulations.

• Career Growth: Valuable certification for healthcare administrators and billing professionals.

• Improved Patient Satisfaction: Ensure smooth billing and reimbursement processes.