BankOfMedicare University
Free Medical Billing and Reimbursement University
Learn the rules behind clean claims, coding systems, remittance, denials, appeals, Medicare compliance, and DME reimbursement from reviewed official sources.
Billing Fundamentals
Claims, code sets, eligibility, privacy, clean-claim controls, and payment basics.
New billers and cross-functional teams
Professional Claims
CMS-1500, 837P, place of service, provider roles, and professional claim logic.
Practices, suppliers, and professional billers
Institutional Claims
CMS-1450, 837I, type of bill, revenue lines, and institutional data relationships.
Hospitals and facility billing teams
Coding Rules
NCCI PTP, MUE, distinct-service modifiers, units, and code-set discipline.
Coders, auditors, and denial teams
Denials and Appeals
Remittance interpretation, root-cause triage, correction, reopening, and appeal workflow.
Denial and payment integrity teams
Medicare Compliance
Timely filing, prior authorization, MSP, ABNs, enrollment, and documentation.
Medicare operations and compliance staff
DME Reimbursement
HCPCS, DME MACs, coverage, orders, delivery, rental, replacement, and fee research.
DME suppliers and reimbursement teams
3 lessons
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NCCI Procedure-to-Procedure Edits
Read Column One, Column Two, and modifier indicators before deciding whether services may be reported together.
Medically Unlikely Edits and Units of Service
Understand MUE values, adjudication indicators, units, and when records may support services above a published edit.
Modifier 59 and XE, XP, XS, XU
Use distinct-service modifiers only when separate encounter, practitioner, structure, or unusual non-overlapping service facts are documented.