Institutional Medical Billing and Revenue Cycle Management

Institutional Medical Billing and Revenue Cycle Management gives you a practical, end-to-end path to mastering Institutional Billing, the UB-04 / CMS 1450 form, 837I EDI files, Medicare Part A rules, facility claims workflows, AR calling, payment posting, and denial management for hospitals and facilities. If you’ve been searching for a hands-on guide to compliant, efficient Revenue Cycle Management (RCM) in institutional settings, you’re in the right place.This course is designed to help learners of all backgrounds understand and apply the processes, forms, data files, and payer rules that drive facility reimbursement. Whether you're working in hospital billing, an ambulatory surgery center, skilled nursing, home health, or hospice, the program builds strong operational fluency in the language and mechanics of institutional RCM — with a focus on practical usage, not academic theory.You’ll learn how claims move from patient registration through coding, charge capture, scrubbing, submission, remittance, and follow-up; how to complete and validate the UB-04 (CMS 1450); and how to create clean 837I transactions through clearinghouses and payer portals.

We’ll also compare Medicare Part A facility rules to professional billing, unpack common denial codes, and practice high-impact AR workflows that accelerate cash.Designed to be beginner-friendly, this course offers clear explanations, job-ready checklists, and realistic examples from claims, remits, reconciliation reports, and payer correspondence to reinforce learning. No prior facility billing experience is required.What You’ll LearnComplete and quality-check the UB-04 / CMS 1450 formBuild and transmit clean 837I files and interpret payer/clearinghouse responsesApply Medicare Part A policy and coverage rules to facility claimsReconcile ERAs/EOBs and perform accurate payment posting and adjustmentsRun effective AR calling and follow-up sequences with timely filing controlDecode common rejections vs. denials and write concise, persuasive appealsUse reports to monitor clean claim rate, DSO, denial rate, and cash accelerationImplement compliance-first workflows that reduce risk and reworkCourse FeaturesStructured walkthrough of the institutional RCM lifecycle with real artifactsUB-04 field-by-field guidance, plus quick-reference checklists and job aidsHands-on 837I/EDI concepts, clearinghouse logic, and remit interpretationDenial prevention playbooks and appeal templates for high-frequency issuesBeginner-friendly explanations; suitable for ESL learners and career switchersMobile/desktop access with downloadable resources you can use on the jobWho This Course Is ForAspiring and current facility billers and RCM specialistsHospital/ASC/SNF/home health/hospice revenue cycle teamsAdministrative professionals moving into institutional billingAR, posting, and denial management staff seeking a proven frameworkThis course serves as a practical, professional introduction to Institutional Billing and Revenue Cycle Management — especially if you're preparing for a facility-side role or need a confident grasp of UB-04, 837I, Medicare Part A, and payer workflows.

Whether you're new to the field or brushing up, you'll leave with job-ready tools to submit cleaner claims, post payments correctly, and win more denials.Disclosure: This course contains the use of artificial intelligence for clear voiceovers.