| You Will Learn How To |
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Develop foundation skills in medical billing and coding &
prepare for challenges and employment opportunities in
the medical field
Have a firm foundation in medical terminology, meanings,
and pronunciations
Have a clear and concise presentation of terms reinforced
by practice exercises
Have an overview of health insurance systems, managed
care systems, medico-legal and ethical responsibilities,
confidentiality, drugs, and prescription records
Do computerized medical billing using MEDISOFT
Become prepared for the “Certified Biller and Coder”
exam conducted by The National Healthcareer
Association (NHA).
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| Course Benefits |
| This Course teaches the different procedures for billing, reviewing, and filing of health insurance claim forms. In addition to the above, the course offers the students medical terminology, ICD-9-CM and CPT coding concepts. This course also helps students to prepare for the “Certified Biller and Coder” exam conducted by The National Healthcareer Association (NHA). |
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| Who Should Attend |
| Students who are interested in pursuing a career as a Medical Biller and Coder should attend this course. This course prepares and gives a comprehensive insight on the above mentioned areas. |
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| Medical Terminology |
Introduction to Body Organization
The Structure of Medical Words - root, suffix & prefix
Introduction to various body systems (musculoskeletal,
cardiovascular, lymphatic, respiratory, nervous,
endocrinal, digestive, urinary, reproductive, etc.) and
related terminology
Terminology related to common areas of Medical
Terminology related to common diagnostic tests and
procedures, common treatments and therapies
Areas of Medical Terminology such as medical specialties
Units of medical measurement
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| Medical Insurance & Billing
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Overview of Medical Records and Insurance
Guidelines for handling medical records
Release of patient information and retention of records
Legal issues involving medical claims and records
Patient/physician/provider contracts
Assignment of benefits
HIPAA regulations
The insurance policy and common types of coverage
plans
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Methods of processing medical insurance claims
Orientation to Medical Codes
Definition and function of CPT and HCPCS
Types of coded procedures
The format of the CPT manual
Definition and function of ICD-9-CM codes
Insurance Billing Procedures
Health care payer procedures
HMO's, PPO’s and IPA
Blue Cross/Blue Shield
Medicare and Medicaid
Worker's compensation
Types of forms
Claims processing
Computerized Medical Recordkeeping
Filing electronic claims
System maintenance and backup and restore files
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| Medical Coding |
CPT-4 and HCPCS Coding
Principles of coding medical procedures
Introduction to the CPT Manual
Using the CPT code book
Locating and using the proper code
Coding guidelines and coding for multiple procedures
HCPCS
Factors and levels of E/M service
E/M coding
Specialized Sections
ICD-9-CM coding
The ICD-9-CM manual
Orientation to Volume 3 Procedures
Diagnostic coding and reporting requirements for physician
billing (HCFA)
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| Exams Prepared for |
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Certified Medical Biller & Coder Specialist
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