When you enroll in this course, you'll also be enrolled in this Professional Certificate.
Learn new concepts from industry experts
Gain a foundational understanding of a subject or tool
Develop job-relevant skills with hands-on projects
Earn a shareable career certificate from AAPC
There are 7 modules in this course
This course offers an in-depth overview of major insurance carriers that impact medical billing and reimbursement, including Medicare, Medicaid, TRICARE, Blue Cross/Blue Shield, commercial plans, and workers’ compensation. Students will explore the unique coverage policies, billing guidelines, and reimbursement methods associated with each payer type. The course also covers best practices for claim submission, prior authorization, and compliance with payer-specific requirements. By the end, students will understand how to reduce denials and support accurate, timely reimbursement across various insurance programs.
What's included
1 video
Show info about module content
1 video•Total 1 minute
Intro Video•1 minute
Government Carriers (Medicare, Medicaid, and TRICARE)
Module 2•7 hours to complete
Module details
What's included
2 readings3 assignments1 plugin
Show info about module content
2 readings•Total 20 minutes
Government Carriers (Medicare, Medicaid, and TRICARE) •10 minutes
Practical Application Workbook•10 minutes
3 assignments•Total 360 minutes
Check Your Understanding Quiz•120 minutes
Practical Application•120 minutes
Review Exam•120 minutes
1 plugin•Total 30 minutes
Interactive Lecture•30 minutes
Blue Cross/Blue Shield
Module 3•7 hours to complete
Module details
What's included
2 readings3 assignments1 plugin
Show info about module content
2 readings•Total 20 minutes
Blue Cross/Blue Shield •10 minutes
Practical Application Workbook•10 minutes
3 assignments•Total 360 minutes
Check Your Understanding Quiz•120 minutes
Practical Application•120 minutes
Review Exam•120 minutes
1 plugin•Total 30 minutes
Interactive Lecture•30 minutes
Commercial Insurance Carriers
Module 4•7 hours to complete
Module details
What's included
2 readings3 assignments1 plugin
Show info about module content
2 readings•Total 20 minutes
Commercial Insurance Carriers •10 minutes
Practical Application Workbook•10 minutes
3 assignments•Total 360 minutes
Check Your Understanding Quiz•120 minutes
Practical Application•120 minutes
Review Exam•120 minutes
1 plugin•Total 30 minutes
Interactive Lecture•30 minutes
Workers’ Compensation
Module 5•7 hours to complete
Module details
What's included
2 readings3 assignments1 plugin
Show info about module content
2 readings•Total 20 minutes
Blue Workers’ Compensation •10 minutes
Practical Application Workbook•10 minutes
3 assignments•Total 360 minutes
Check Your Understanding Quiz•120 minutes
Practical Application•120 minutes
Review Exam•120 minutes
1 plugin•Total 30 minutes
Interactive Lecture•30 minutes
Final Exam
Module 6•4 hours to complete
Module details
What's included
1 assignment
Show info about module content
1 assignment•Total 240 minutes
Final Exam •240 minutes
Wrap-up Video
Module 7•0 minutes to complete
Module details
What's included
1 video
Show info about module content
1 video
Course Wrap-up•0 minutes
Earn a career certificate
Add this credential to your LinkedIn profile, resume, or CV. Share it on social media and in your performance review.
Instructor
Instructor ratings
Instructor ratings
We asked all learners to give feedback on our instructors based on the quality of their teaching style.
AAPC is the world’s largest education and credentialing organization for medical coders, billers, auditors, practice managers, documentation specialists, compliance officers, and revenue cycle managers. All members of AAPC agree to abide by the AAPC Code of Ethics, which ensures high levels of professionalism, integrity, and ethical behavior.
"To be able to take courses at my own pace and rhythm has been an amazing experience. I can learn whenever it fits my schedule and mood."
Jennifer J.
Learner since 2020
"I directly applied the concepts and skills I learned from my courses to an exciting new project at work."
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Learner since 2021
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Learner reviews
4.7
26 reviews
5 stars
76.92%
4 stars
19.23%
3 stars
3.84%
2 stars
0%
1 star
0%
Showing 3 of 26
W
WA
4·
Reviewed on Jan 28, 2026
This is an amazing course. I learned a lot of new information, and it greatly improved my understanding of the subject.
A
AZ
4·
Reviewed on Aug 18, 2025
It covers the topic well. But the delivery is quite lacking. The training is more like you are just learning from the workbook they provide. There are a few minutes of slides per section only.
When will I have access to the lectures and assignments?
To access the course materials, assignments and to earn a Certificate, you will need to purchase the Certificate experience when you enroll in a course. You can try a Free Trial instead, or apply for Financial Aid. The course may offer 'Full Course, No Certificate' instead. This option lets you see all course materials, submit required assessments, and get a final grade. This also means that you will not be able to purchase a Certificate experience.
What will I get if I subscribe to this Certificate?
When you enroll in the course, you get access to all of the courses in the Certificate, and you earn a certificate when you complete the work. Your electronic Certificate will be added to your Accomplishments page - from there, you can print your Certificate or add it to your LinkedIn profile.