Overview
End-to-end laboratory revenue cycle management (RCM), CPT/HCPCS coding for lab tests and panels, ICD-10-CM diagnosis coding for medical necessity, Clean claim creation: CMS-1500/837P and payer portals, Prior authorization, eligibility, and benefits verification, Payment posting, ERA/EOB reconciliation, and denials, Medicare lab billing rules, NCD/LCD coverage and ABNs, KPI dashboards for A/R, rejections, and compliance monitoring
Medical billers, coders, and RCM specialists entering lab billing, AR callers, payment posters, and denial management teams, Front-office, prior-auth, and benefits verification staff, Lab managers, phlebotomy supervisors, and practice owners, Healthcare IT/EHR analysts supporting billing workflows, Students pursuing careers in US healthcare revenue cycle
Basic computer skills, Interest in US healthcare billing or RCM operations, Internet access; ability to view PDFs, No prior coding experience required (beginner-friendly)
If you want practical, job-ready skills in medical billing, medical coding, revenue cycle management (RCM), A/R calling, payment posting, prior authorization, Medicare, HIPAA, health data, EHR, and US healthcare—this laboratory-focused course is for you.
This course is designed to help learners of all backgrounds understand and apply laboratory medical billing and revenue cycle management in real-world healthcare settings. Whether you’re working in medical coding, billing, administration, or healthcare IT, this course builds a strong foundation in the lab billing workflow—from orders and requisitions to coding, claim submission, payment posting, and denial prevention.
You’ll learn how CPT/HCPCS and ICD-10-CM interact to support medical necessity, how payer rules (especially Medicare) shape coverage, and how to operationalize HIPAA-compliant processes across EHR and clearinghouse environments. The curriculum follows your course sections step-by-step: lab orders, coding, forms, payer-specific scenarios, audits, fraud prevention, technology, and “getting hired” pathways for laboratory billers.
Designed to be beginner-friendly, the course includes clear explanations, downloadable templates, checklists, and realistic examples from EHRs, ERAs/EOBs, and lab billing documentation to reinforce learning. No prior experience is required.
What You’ll Learn
Map the full laboratory RCM lifecycle from order to zero balance
Apply CPT/HCPCS and ICD-10-CM to common lab services and diagnoses
Build clean claims (CMS-1500/837P) and reduce rejections/denials
Manage prior authorizations, eligibility, and benefits verification
Post payments accurately; reconcile ERAs/EOBs and handle takebacks
Navigate Medicare rules, NCDs/LCDs, ABNs, and payer edits
Use dashboards to track A/R aging, first-pass yield, and KPIs
Operate within HIPAA, fraud/waste/abuse, and audit-ready controls
Course Features
70+ bite-size videos aligned to the lab billing workflow
Realistic case files: test panels, reflex testing, repeats, add-ons
Clean-claim checklists, medical-necessity tools, and denial playbooks
Medicare policy walk-throughs (NCD/LCD), ABN examples, payer specifics
Hands-on templates for A/R follow-up, payment posting, and appeals
Technology module: clearinghouses, EHR interfaces, edits, and rules engines
Career module: resume tips, interview questions, and starter portfolio
Who This Course Is For
Aspiring and current medical billers, coders, and lab RCM staff
AR callers, payment posters, and denial/appeals specialists
Prior-auth teams, front office staff, and benefits coordinators
Lab managers, practice owners, and healthcare administrators
EHR/healthcare IT analysts supporting billing and claims
Students entering US healthcare who want a lab billing niche
Disclosure: This course contains the use of artificial intelligence for clear voiceovers.
RCM Academy
Welcome to RCM Academy! Our founder and lead instructor has extensive experience in healthcare Revenue Cycle Management (RCM) and medical billing. With a strong background in the healthcare industry, they have trained hundreds of professionals to master the complexities of RCM processes, from patient registration to payment collection. Passionate about helping individuals succeed, the instructor designed RCM Academy to provide practical, up-to-date training on medical billing, coding, and RCM strategies. Whether you're just starting in healthcare administration or looking to expand your knowledge, RCM Academy offers the skills you need to excel in the field of medical billing and RCM.