Administrative Medical Assistant • Stage 4: Insurance, Coding and Finances

Course Prerequisite(s)

Please note that this course has the following prerequisites which must be completed before it can be accessed
Administrative Medical Assistant • Stage 3: Office Systems and Records

Your next learning step

Complete the preceding Administrative stage before purchasing or beginning this stage.

Already completed the requirement? Sign in with the account holding your completion record. If you previously completed equivalent LC training, contact LC before purchasing so your record can be reviewed. Existing Combined-program enrollment includes its Clinical component; a second purchase is not required.

Distinguish insurance verification, authorization, claim decisions and payment.
Use supplied documentation to support accurate diagnosis and procedure coding.
Verify patient balances, payments and adjustments before communicating account information.
Reconcile office financial records and route unresolved differences appropriately.
Recognize medical word parts in insurance, coding and billing tasks.
Demonstrate learning through quizzes and uploaded work samples.

Course Content

Medical Insurance
Distinguish benefit verification, authorization, adjudication and payment; calculate classroom estimates only from supplied plan rules.

Health Insurance Policies
Policy Provisions and Terminology

05:24
Types of Insurance Plans
Health Insurance Payers
Government Insurance
Advance Beneficiary Notice
Third Party Liability Insurance Types
Health Insurance Claims
CMS 1500 Claim Form
Secondary Policies
Medical Insurance • Applied Decisions
Benefits Desk • Verification and Claim Readiness

Diagnosis Coding
Support documentation and code-reference verification without inventing diagnoses or unsupported clinical detail.

Procedure Coding
Verify performed-service evidence, reference purpose, unit definitions and modifier support through authorized coding review.

Patient Billing and Collections
Reconcile payments and adjustments, verify patient responsibility and resolve billing concerns with respectful evidence-based follow-up.

Overview of Patient Accounting
Computerized Billing Systems
Collecting Insurance Payments
Responding to Denied Claims
Balance Billing
Patient Statements
Collecting balances
Patient Billing • Applied Decisions
Billing Desk • Reconciliation and Resolution
Payment Desk • Receipt and Statement Work Sample

Banking and Practice Finances
Reconcile payment channels, invoices and bank/book differences while preserving review controls and actual transaction status.

Course Prerequisite(s)

Your next learning step

What Will You Learn?

Course Content

Medical Insurance Distinguish benefit verification, authorization, adjudication and payment; calculate classroom estimates only from supplied plan rules.

Health Insurance Policies

Policy Provisions and Terminology

Types of Insurance Plans

Health Insurance Payers

Government Insurance

Advance Beneficiary Notice

Third Party Liability Insurance Types

Health Insurance Claims

CMS 1500 Claim Form

Secondary Policies

Medical Insurance • Applied Decisions

Benefits Desk • Verification and Claim Readiness

Diagnosis Coding Support documentation and code-reference verification without inventing diagnoses or unsupported clinical detail.

History and Compliance

Overview of ICD 10

How to Code Diagnoses

Diagnosis Coding • Applied Decisions

Diagnosis Desk • Documentation and Lookup Plan

Procedure Coding Verify performed-service evidence, reference purpose, unit definitions and modifier support through authorized coding review.

History and Compliance

Overview of CPT 4

Coding Basics

Coding for Services

Procedure Coding • Applied Decisions

Procedure Desk • Service and Unit Verification

Patient Billing and Collections Reconcile payments and adjustments, verify patient responsibility and resolve billing concerns with respectful evidence-based follow-up.

Overview of Patient Accounting

Computerized Billing Systems

Collecting Insurance Payments

Responding to Denied Claims

Balance Billing

Patient Statements

Collecting balances

Patient Billing • Applied Decisions

Billing Desk • Reconciliation and Resolution

Payment Desk • Receipt and Statement Work Sample

Banking and Practice Finances Reconcile payment channels, invoices and bank/book differences while preserving review controls and actual transaction status.

Financial Functions

Deposit

Paying Bills

Statements

Practice Finances • Applied Decisions

Finance Desk • Deposit and Bank Reconciliation

Professional Services

Learning & Resources

Connect

Medical Insurance
Distinguish benefit verification, authorization, adjudication and payment; calculate classroom estimates only from supplied plan rules.

Diagnosis Coding
Support documentation and code-reference verification without inventing diagnoses or unsupported clinical detail.

Procedure Coding
Verify performed-service evidence, reference purpose, unit definitions and modifier support through authorized coding review.

Patient Billing and Collections
Reconcile payments and adjustments, verify patient responsibility and resolve billing concerns with respectful evidence-based follow-up.

Banking and Practice Finances
Reconcile payment channels, invoices and bank/book differences while preserving review controls and actual transaction status.