CLC Billing & Coding Concepts/XX - CMBS (Certified Medical Billing Specialist)

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XX - CMBS (Certified Medical Billing Specialist)

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CLC Billing & Coding Concepts is an affiliated and licensed through Medical Association of Billers. This course lays a foundation for physician settings. Topics include medical and insurance terminology, medical billing and coding, insurance processes, as well as claim processing, and proper formatting of filing appeals. Get the training you need for a tenth of the cost and in quarter of the time of traditiona...

Contents

Welcome to CMBS Course

Video - Welcome to CMBS
CMBS Code of Ethics.pdf
CMBS Course Outline
Additional Questions Please Email
Go-To-Meeting Link (Log On Conference Link)

Medical & Insurance Terminology - Chapter 1

Medical terminology is not as difficult as it would seem. We will learn to break the complex medical terms down into their component parts.  An understanding of root words, prefixes, suffixes, and combining vowels make medical terminology much easier!
Introduction
Preview
Video- Medical Terminology
Chapter 1 Medical & Insurance Terminology Workbook
Chapter 1 Homework Questions #1
Chapter 1 Homework Answers #1
Chapter 1 Homework #2.docx
Chapter 1 Homework Answers #2
Video - Insurance Terminology
Chapter 1 Insurance Terminology.pdf
Chapter 1 Insurance Terminology Answers.pdf
CMBS Chapter 1 Quiz

Chapter 2 Commercial Insurance

Introduction
Preview
Video - Commercial Insurance
CMBS Chapter 2 Workbook.pdf
Chapter 2 Homework.docx
Chapter 2 Homework - Answers.docx
Coordination of Benefits Exercise
Chapter 2 Addtl Quiz Time.pdf
Chapter 2 Addtl Quiz Time Answers
CMBS Ch2 Commercial Insurance Quiz.docx

Chapter 3 Medicare

Introduction
Preview
Video - Medicare.mp4
Chapter 3 Medicare Workbook
ABN Form.pdf
Par vs. Non-Par Calculation Exercise
CMBS Chapter 3_ Medicare Homework .docx
CMBS Chapter 3 Medicare HW Answers.docx
Chapter 3 Quiz Time
Chaper 3 Quiz Time Answers
CMBS Ch4 Medicare Quiz.pdf

Chapter 4 Other Government Insurance

In addition to Medicare, there are several other health care programs sponsored by the state or federal government. 
Video -Other Government Programs.mp4
Chapter 4 Workbook
Medicaid
Medicaid Spend Down Info
CHIP Children's Health Insurance Program
Tricare
Worker's Compensation
Chapter 4 Quiz Time
Chapter 4 Quiz Time Answers
CMBS Ch4 Other Government Programs Homework.docx
CMBS Ch 4 Other Government Programs Homework Answers.docx
CMBS Chapter 4 Other Government Programs Quiz.docx

Chapter 5 Billing Process

Introduction
Preview
Video - Billing Process.mp4
Chapter 5 Billing Process Workbook
Financial Hardship Exception Form.pdf
Assignment of Benefits Form.pdf
Office Financial Policy.pdf
Patient Intake_Registration Forms.pdf
Physician Superbill_Encounter Form.pdf
Pre-Authorization.pdf
Pre-Determination.pdf
Verification of Benefits.pdf
Chapter 5 Billing Process Homework.docx
Chapter 5 Homework - Answers.docx
Chapter 5 Quiz Time
CMBS Chapter 5 Billing Process Quiz.docx
Live CMBS Session 6-28-2023

Chapter 6 Laws, Fraud, and Ethics

Violating the fraud and abuse laws can result in criminal penalties, civil fines, exclusions from federal health care programs, and loss of a provider's medical license. 
Introduction
Preview
Video - Laws, Fraud, and Ethics.mp4
Self Study CMBS Chptr 6.mp4
CMBS Chptr 6 Textbook.pdf
Chapter 6 Laws, Fraud, and Ethics Homework.docx
Chapter 6 Laws, Fraud, and Ethics Homework - Answers.docx
CMBS Chapter 6 Laws, Fraud, and Ethics Quiz.docx
CMBS Chptr 6 Q.T..pdf

Chapter 7 ICD-10-CM Coding

Introduction
Preview
Video - ICD-10-CM Basics.mp4
ICD-10-CM Conventions & Terms.pdf
ICD-10-CM Exercise.docx
ICD-10-CM Rationales.docx
ICD-10-CM Exercise 2.docx
ICD-10-CM Rationales 2.docx
ICD Homework Questions.docx
ICD Homework - Answers.pdf
ICD Basics Questions (Additional Homework)
ICD Basics Rationales (Additional Homework)
ICD-10-CM Additional Exercise.pdf
ICD-10-CM Additional Exercise Answers.pdf
CMBS Chapter 7 Homework.docx
CMBS Chapter 7 Homework Answers.docx
CMBS Chapter 7 ICD Quiz.docx

Chapter 8 CPT Coding

Introduction
Preview
Video CPT Coding
CPT Coding Quiz
CPT Coding Basics Quiz.docx
CPT Additional Homework.docx
CPT Additional Homework - Answers.pdf
MAB EM Template.pdf
New vs. Established Patient Resolution Tree.pdf
E&M Homework.docx
E&M Exercise.pdf
E&M Exercise - Answer Keys.pdf
Modifier Template.pdf
E&M Modifiers.pdf
CMBS CPT Coding Basics Homework.docx
CMBS Chapter 8 Homework - Answers.docx
CMBS Chapter 8 CPT Quiz.docx

Chapter 9 HCPCS

2020 Intro to HCPCS.pdf
Intro to HCPCS
HCPCS Quiz.pdf
HCPCS Quiz Rationale.pdf
Chapter 9 Quiz Time (2020).pdf

Modifiers

Modifier Exercise.pdf
Modifier Exercise Answers.pdf

Final Review Info

CMBS Terminology Review.docx
Mock Exam.pdf

Chapter 10 Insurance Claim Form

Introduction
Preview
Video - Insurance Claim Form
Video - Anatomy of an EOB
UB 04.pdf
CMS 1500.pdf
Complete UB-04 Instructions
EOB Example #1
EOB Example #2
EOB Example #3
EOB Example #4
EOB Example #5
EOB Example #6
Insurance Claim Homework.pdf
Case Scenario #1.pdf
Case Scenario 1 Answer
Case Scenario #2.pdf
Case Scenario 2 Answer
EOB Homework.pdf
Financial Hardship Form
CMBS Insurance Homework.pdf
Insurance Claim Exam.docx
CMBS Insurance Homework Answers.pdf
CMBS Chapter 10 Ins Claim
Chapter 10 Quiz Time.pdf

Thank You - CMBS Course

CMBS Enrollment Form (fillable).pdf
CMBS Proctor Sites.pdf
CMBS Certification Exam Link
Medicare Learning Network
Thank You - CMBS Course

Pass The National Medical Billing & Medical Coding Certification Exam!