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 Learn

• Complete and quality-check the UB-04 / CMS 1450 form

• Build and transmit clean 837I files and interpret payer/clearinghouse responses

• Apply Medicare Part A policy and coverage rules to facility claims

• Reconcile ERAs/EOBs and perform accurate payment posting and adjustments

• Run effective AR calling and follow-up sequences with timely filing control

• Decode common rejections vs. denials and write concise, persuasive appeals

• Use reports to monitor clean claim rate, DSO, denial rate, and cash acceleration

• Implement compliance-first workflows that reduce risk and rework
  

Course Features

• Structured walkthrough of the institutional RCM lifecycle with real artifacts

• UB-04 field-by-field guidance, plus quick-reference checklists and job aids

• Hands-on 837I/EDI concepts, clearinghouse logic, and remit interpretation

• Denial prevention playbooks and appeal templates for high-frequency issues

• Beginner-friendly explanations; suitable for ESL learners and career switchers

• Mobile/desktop access with downloadable resources you can use on the job
  

Who This Course Is For

• Aspiring and current facility billers and RCM specialists

• Hospital/ASC/SNF/home health/hospice revenue cycle teams

• Administrative professionals moving into institutional billing

• AR, posting, and denial management staff seeking a proven framework

This 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.