Hometown Health University welcomes you to our online Billing Certification (BC) program. This certification is the first level of training for hospital billers. Hospital Billers are accountable for the compliant and correct billing of claims generated through multiple services provided by the hospital. The Hospital Biller plays a key role in the hospital’s revenue cycle; and, their attention to detail, follow-up and CMS billing guidelines is vital to the hospital’s financial success.

This is a 6 week certification. You will have 50 days to complete the certification in its entirety.

Upon the completion of this certification, the learning outcomes for students include:
- Describe their role as a biller, explain the advantages of electronic billing and identify payers
- Outline the UB-04 requirements, explain all form locators and complete the form correctly
- Determine patient services and bill types; and complete FL 42-49 and FL 66-81 based on Service and Type of Bill
- Explain the importance of healthcare billing compliance
- Apply the 3 Day Window Rule to the appropriate services
- Utilize Medicare Consolidated Billing, Observation Billing Guidelines, and Swing Bed Admission and Billing Guidelines
*Learning outcomes are described in more detail, per course, on the Completion Form.

In order to receive your Billing Certification, along with 1 CEU/10 credit hours, you must complete all of the required courses listed here and all assignments within each course.

Required Courses:
1) Billing Certification Introduction
2) Introduction to Hospital Billing
3) Understanding and Utilizing the UB-04
4) What Are My Services? How Do I Bill For Them?
5) Health Care Billing Compliance
6) 3 Day Window Rule
7) Medicare Consolidated Billing
8) Observation Billing Guidelines
9) Swing Bed Admission & Billing Guidelines
10) Billing Certification (FINAL)

PREREQUISITE: You must take the Patient Access Certification and the Patient Access Specialist Certification; or, if you prefer, you can take the Billing Prerequisite course. You will not be allowed to pass this course until you have completed PAC & PAS or Billing Prequisite. All can be found in the Course Catalog.

Please note that all references to Medicaid refer to Georgia Medicaid. Please reference your state Medicaid regulations for all Medicaid specific instruction.

Cost: $99.00