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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How to Read an ERA: Group Codes, CARCs, and RARCs
Translate an 835 remittance into financial responsibility, root cause, and the next operational action.
Corrected Claim, Reopening, or Appeal?
Choose the right path based on whether the payer lacked correct claim data, made a minor processing error, or issued a disputed coverage or payment decision.
Original Medicare Appeals: Five Levels and Deadlines
Build an appeal from redetermination through judicial review, starting with the remittance and deadline.