HOAP: Medical Office Billing
About Course
In this course, students will be introduced to all aspects of effective medical billing and will
become familiar with procedures and forms related to alternate billing, including:
▪ Workers’ Compensation Board
▪ ICBC
▪ Department of Veterans’ Affairs
▪ RCMP
▪ out-of-province billing
▪ medical-legal billing.
The emphasis will be on understanding and using the preamble and fee schedule from BCMA and
using this knowledge to handle claims manually and bill electronically to the provincial insurer.
You will also become competent in the WOLF billing system and aspects of the operation of a
paperless office system.
After the completion of this course, you will be able to delve into the following mentioned streams of Medical Office Billing
- Effective Medical Billing Management
- Specialized Billing for RCMP and Out-of-Province Claims Analytics
- Medical-Legal Billing Management
- Health Care Management
- Disability Benefit Programs
Course Content
Module 1
- 03:09
- 17:19
-
LO2: Explain Navigate Billing Software and Tools
20:18 -
LO3: Discuss the Reimbursement Processes
17:06 -
LO4: Knowledge Check
-
Case Study: Effective Medical Billing
- 04:11
- 11:23
-
LO2: Outline the Processes for Submitting Claims to DVA and RCMP
10:48 -
LO3: Describe Required Forms for Out-of-Province Billing
06:39 -
LO4: Explain the Medical-Legal Billing Processes
13:19 -
LO5: Knowledge Check
-
Case Study: Procedures and Forms related to Alternate Billing (i)
- 03:31
- 16:00
-
LO7: Implement Fraud Prevention Measures
16:04 -
LO8: Classify the Differences Between Patient and Outpatient Billing
12:17 -
LO9: Knowledge Check
-
Case Study: Procedures and Forms related to Alternate Billing (ii)
-
Topic 3: Companies that make payments
04:03 -
LO1: Describe the Structure of Payment Systems
14:46 -
LO2: Explain The Blue Plans
21:40 -
LO3: Identify & Navigate Private Insurance Policies
12:02 -
LO4: Analyzed Managed Care Models
14:20 -
LO5: Explain the Process of Coordination of Benefits
16:24 -
LO6: Knowledge Check
-
Case Study: Companies that make payments
-
Topic 4: Health Care Payers
03:41 -
LO1: Explain the Government Health Programs
14:02 -
LO2: Explore Military and Veterans’ Health Care Systems
18:24 -
LO3: Examine Worker Safe BC
20:47 -
LO4: Identify and Address Common Challenges in Government Health Programs
18:02 -
LO5: Knowledge Check
-
Case Study: Health Care Payers
-
Topic 5: Disability Benefit Programs
03:23 -
LO1: Discuss the Disability Benefit Programs
19:44 -
LO2: Explain the Disability Income Insurance
22:17 -
LO3: Describe the Government-Run Disability Programs
23:01 -
LO4: Knowledge Check
-
Case Study: Disability Benefit Programs
-
Topic 6: WOLF Billing System
03:37 -
LO1: Define the WOLF Billing System
12:07 -
LO2: Create and Manage Patient Accounts
16:53 -
LO3: Describe Maintaining Ethical Billing Practices
19:12 -
LO4: Discuss the Aspects of the Operation of a Paperless Office System
16:06 -
LO5: Knowledge Check
-
Case Study: WOLF Billing System
-
Topic 7: Preamble and Fee Schedule From BCMA
03:37 -
LO1: Explain the Purpose and Significance of the BCMA Preamble
13:19 -
LO2: Understand the Components of BCMA Fee Schedule
19:49 -
LO3: Utilize BCMA Resources for Billing
19:03 -
LO4: Discuss the Communication of Billing Details to Patients
14:34 -
LO5: Knowledge Check
-
Case Study: Preamble and Fee Schedule From BCMA
-
Module Based Quiz
