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Mastery of the Saudi Billing System (SBS) and AR-DRG Standards (Hospitals)

(Hospitals) Master the 9-digit SBS code and AR-DRG v9.0 to secure clean claims and correct reimbursement under the cluster model.

Beginner
Last updated: September 2026

Course Description

(Hospitals) To drive value-based healthcare and optimize resource allocation across the Kingdom's 20 health clusters, regulators now mandate universal use of the Saudi Billing System (SBS) alongside Australian-Refined Diagnosis Related Groups (AR-DRG) Version 9.0, rendering non-standardized in-house codes obsolete. This program confronts the national skills shortage in advanced medical coding by training professionals to assign Major Diagnostic Categories (MDCs), AR-DRG groupings, and precise SBS codes. The curriculum explores the mechanics of the 9-digit SBS code, which extends international classifications to capture national modifications and localized clinical nuances. Participants master the direct correlation between accurate clinical coding and clean financial claims through NPHIES, learning to eliminate both under-billing, which starves the facility of earned revenue, and over-billing, which invites audits and penalties. Through applied coding laboratories using Saudi case studies, coders, billing managers, and clinical auditors build the technical precision needed to secure correct reimbursement and protect long-term viability under the corporatized cluster model.

What You'll Learn

Module 1 - Standardization and the Cluster Mandate
Module 2 - AR-DRG v9.0 and Major Diagnostic Categories
Module 3 - The 9-Digit SBS Code Architecture
Module 4 - Under-Billing, Over-Billing, and Audit Risk
Module 5 - Clean Claims, NPHIES, and Coding Governance