US Healthcare 101

U.S. Healthcare 101

A Beginner’s Guide to the U.S. Healthcare System, Medical Billing & Revenue Cycle Management

Welcome to U.S. Healthcare 101, the first foundational learning module from ACES — Healthcare Revenue Cycle & Medical Billing Learning Hub.

This course is designed for individuals who have little or no experience with the U.S. healthcare system and want to understand how healthcare services, insurance, medical billing, claims, payments, and revenue cycle management work together.

Whether you’re preparing for your first healthcare BPO, medical billing, AR, or RCM position, this module provides the foundation you need before moving into more specialized topics.

What You’ll Learn

By completing this module, you will develop a foundational understanding of:

• 🇺🇸 How the U.S. healthcare system works

• 🏥 Healthcare providers and facilities

• 👤 Patients, insured and uninsured individuals

• 🛡️ Health insurance and payer types

• 💳 Premiums, deductibles, copayments and coinsurance

• 📋 Insurance eligibility and benefits

• 🧾 Medical billing and claims

• 🔄 The healthcare revenue cycle

• 💰 Payments and patient responsibility

• 🚫 Denials and claim rejections

• 📄 Explanation of Benefits (EOB)

• 💻 EHR, EMR and healthcare technology

• 📞 Provider and payer interactions

• 🔐 HIPAA and healthcare information

• 💼 How these concepts apply to medical billing and AR professionals

Course Roadmap

This course is organized into progressive lessons designed to take you from the basic concepts of U.S. healthcare to the fundamentals of medical billing and revenue cycle management.