Description

Course Name: Certificate in Hospital Billing and Documentation

Global Occupational Skill Standard – GOSS ID: GOSS/HF/CMBD/V1

Eligibility: 10+2 (Higher Secondary) or Equivalent.

Duration: Three Months.

Objective: The Certificate in Hospital Billing and Documentation course is designed to equip students with comprehensive knowledge and practical skills required to efficiently manage the medical billing process in healthcare settings. Participants will learn the fundamentals of medical terminology, insurance policies, billing codes (such as CPT, ICD-10, and HCPCS), claims processing, reimbursement procedures, and healthcare regulations including HIPAA compliance.

Get ready to join the Journey to become a GSDCI Certified Professional  – International Certification and Assessment Body.

Steps to become a GSDCI Certified Professional:

Step 1: Select your certification you want to pursue.

Step 2: Click on get certified tab, new pop up window will open.

Step 3: Click on pay certification fee, you will be redirected to billing details page.

Step 4: Fill your details and click on pay certification fee, You will be redirected to payment gateway, pay fee by any available options like Card(Debit/Credit), Wallet, Paytm, Net banking, UPI and Google pay.

Step 5: You will get Login Credentials of Online E-Books and Online assessment link on your email id, within 48 hrs of payment.

Step 6: After completion of the online assessment, the soft copy of your certificate will be sent to your registered email ID within 5 days.

Assessment Modules:

Module 1: Introduction to Medical Billing and Healthcare Systems: Overview of the healthcare delivery system, Role and responsibilities of a medical billing specialist, Medical billing cycle and key terminology, Understanding insurance plans (HMO, PPO, Medicare, Medicaid), Introduction to medical coding systems (ICD, CPT, HCPCS), Ethics, compliance, and HIPAA regulations.

Module 2: Patient Information and Insurance Basics: Patient registration and demographic data collection, Insurance verification and eligibility, Authorization and referral procedures, Coordination of benefits and insurance rules, Introduction to electronic health records (EHR), Privacy practices and consent forms.

Module 3: Medical Coding Essentials: Introduction to ICD-10-CM coding guidelines, CPT coding structure and usage, Overview of HCPCS Level II codes, Linking diagnosis and procedure codes, Common coding errors and how to avoid them, Use of coding manuals and software tools.

Module 4: Billing Procedures and Claim Submission: Superbill and encounter form handling, Manual and electronic claim form preparation (CMS-1500), Insurance claim submission process, Billing for different services (inpatient, outpatient, ancillary), Understanding claim edits and scrubbers, Timely filing and resubmission of claims.

Module 5: Payment Posting and Revenue Cycle Management: Explanation of Benefits (EOB) and Electronic Remittance Advice (ERA), Payment posting and reconciliation, Accounts receivable and denial management, Appeals and reconsideration process, Patient billing and collection procedures, Financial policies and payment plans.

Module 6: Software Applications and Industry Readiness: Practice management software overview, Using medical billing software and clearinghouses, Preparing for certification and industry exams, Resume building and job search strategies, Workplace professionalism and communication skills, Case studies and hands-on billing simulations.

GSDCI Online Assessment Detail:

• Duration- 60 minutes.
• Number of Questions- 30.
• Number of Questions from each module: 5.
• Language: English.
• Exam Type: Multiple Choice Questions.
• Maximum Marks- 100, Passing Marks- 50%.
• There is no negative marking in any module.

Benefits of Certification:

1. Global Recognition & Credibility – Stand out worldwide with a certification that strengthens your professional profile across borders and demonstrates your skills to employers and institutions.

2. Quality Assurance through ISO Certification – Programs follow an ISO-certified quality management system to promote consistency, reliability, and a standardized learning experience.

3. Career Advancement & Employability – Enhance your résumé, demonstrate professional competence, and improve your prospects for career growth, promotions, or suitable job opportunities.

4. Non-Profit Trust Factor – Certification from a non-profit organization reflects a mission-driven approach focused on skill development, professional learning, and public benefit.

5. Access to Learning Resources – Gain access to useful learning resources such as e-books, mock tests, assessments, and online academic support.

6. Transparency & Online Verification – Each certification includes a unique enrolment or certificate ID, enabling convenient online verification by employers and other interested parties.

7. Lifetime or Long-Term Validity – Certifications may offer lifetime or extended validity, reducing the need for frequent renewal, subject to the applicable certification scheme.