Medical Billing and RCM study kit
Cheatsheet, term cards, never-miss list, and a seven-day plan. Original study material.
The rule
Post what the remittance says. Route what will not balance. Do not rewrite the record to force a payment.
Name the remark reason and the next owner. Keep unmatched lines on an exception queue.
Never miss
- Charge equals paid plus adjustments plus patient responsibility.
- You do not decide what the payer pays.
- Eligibility and authorization errors belong to access.
- No note, no claim.
- This desk does not issue a coverage denial.
Traps
- Writing off a variance so the dashboard is green.
- Borrowing another clinician's NPI.
- Sending the lifetime chart as an appeal.
Shortcuts
- Balance the 835 first.
- Route by reason.
- Cite the notice for any filing window.
Memory hooks
- POST-THEN-ROUTE. Account for the line, then send the leftover Daily RCM motion.
This is a practice drill for the desk.
- Day 1Scope and safe next stepRead the Scope and safe next step terms, then the never-miss lines that touch this domain.
- Day 2Packet and evidenceRead the Packet and evidence terms, then the never-miss lines that touch this domain.
- Day 3Routing, clocks, and follow-throughRead the Routing, clocks, and follow-through terms, then the never-miss lines that touch this domain.
- Day 4Scope and safe next stepRead the Scope and safe next step terms, then the never-miss lines that touch this domain.
- Day 5Packet and evidenceRead the Packet and evidence terms, then the never-miss lines that touch this domain.
- Day 6Mixed recallRun the term cards, then a short drill. Restate the one-line rule out loud.
- Day 7Full drillSit the 9-question exam and review every miss against this kit.