Medical Billing and Coding

Carroll Community College
Westminster, Maryland, United States

Course Format: Classroom | E-learning | Virtual Class | Online | On-site | Blended | Self-paced

Course Description:

'' Upon successful completion of the Medical Billing and Coding program, students will:

Be proficient in skills such as medical terminology, communication, telephone techniques, organization and time management.
Have knowledge of Medical Practice Settings and Specialties, as well as the differences in Traditional and Managed Care. Students also learn about Commercial, HMO/PPO, Federal and State insurance plans, including eligibility and coverage, as well as reimbursement methodologies.
Have knowledge of the legal and ethical responsibilities of an administrative medical specialist, including the HIPAA mandates, the rules for maintaining privacy of medical records and protected health information, and the types of consents and disclosures that are required in a medical office environment.
Be able to perform tasks associated with the entire Accounts Receivable and Revenue cycle, including registration of patients, posting of accounting transactions, completion of insurance claim forms, and collections.
Be able to perform the day-to-day tasks associated with medical coding, medical billing and completing insurance forms.
Be prepared to take an Advanced Coding course to prepare for more advanced national certifications.

Course Outline

Module 1 - Introduction to Healthcare

Various professions and opportunities
Medical Specialties
Module 2 - Compliance, Law, & Ethics
HIPAA
CMS Regulations
Medical Ethics
Module 3 - Medical Terminology
Essential Information for Learning by This Quick and Easy Method
Writing Terms with Suffixes and Combing Forms
Writing Terms with Prefixes, Suffixes, and Combining Forms
Diagnostic Procedures and Therapeutic Interventions
Organization of the Body
The Musculoskeletal System
The Circulatory System
The Respiratory System
The Digestive System
The Urinary System
The Reproductive System
The Integumentary System
The Nervous System and Psychologic Disorders
The Endocrine System
Module 4 - Diagnostic Coding
The ICD-9-CM Manual
Federal Law Regarding Use
Primary Diagnosis vs. Principal Diagnosis
Organization
Volume I: Tabular Index
Volume II: Alphabetic Index to Disease
Conventions
Main Terms
Notes
Tables
4th and 5th Digit Modifiers
V Codes
E Codes
Chapter Descriptions
Infectious and Parasitic Diseases (001-139)
Neoplasms (140-239)
Endocrine, Nutritional and Metabolic Diseases, and Immunity Diseases (240-279)
Diseases of the Blood and Blood-Forming Organs (280-289)
Mental Disorders (290-319)
Diseases of the Nervous System and Sense Organs (320-389)
Circulatory System (390-459)
Respiratory System (450-519)
Digestive System (520-579)
Genitourinary System (580-629)
Complications of Pregnancy, Childbirth, and the Puerperium (630-677)
Diseases of the Skin and Subcutaneous Tissue (680-709)
Diseases of the Mucoskeletal System and Connective Tissue (710-739)
Congenital Anomalies (740-759)
Conditions in the Perinatal Period (760-779)
Symptoms, Signs and Ill-Defined Conditions (780-799)
Injury and Poisoning (800-999)
Module 5 - Procedural Coding
What is Coding?
The CPT Manual Layout
CPT Main Index
CPT Main Index Format and Conventions
CPT Appendices & Addendums
CPT Alphabetical Index
Steps for Procedural Coding
Using the Alpha Index to Search
Coding Steps
Code Modifiers
CPT Main Index Sections
Evaluation and Management
Evaluation and Management Categories
Most Commonly Used E&M Categories
Levels of Service
Anesthesia
Surgery
Surgical Packages
Surgery - Integumentary
Multiple Laceration Repair
Surgery - Musculoskeletal System
Surgery - Respiratory System
Surgery - Cardiovascular System
Surgery - Hemic: Lymphatic, Mediastimum and Diaphragm
Surgery - Digestive System
Surgery - Urinary System
Surgery - Male Genital System
Surgery - Intersex, Laparoscopy, Femal Genital and Maternity
Surgery - Endocrine and Nervous Systems
Surgery - Eye and Ocular Adnexa
Surgery - Auditory System
Radiology Section
Pathology and Laboratory
Medicine
HCPCS Level II
HCPCS Sections
HCPCS Modifiers
Module 6 - Insurance Billing and Collections
Industry basics
CMS-1500 Claim Form
UB-92 Claim Form
Electronic Filing & Remittance
Reimbursement
Module 7 - CCA Prep
...''

Elements of this syllabus are subject to change.

Phone:410-386-8100

School Address:

Continuing Education & Training
1601 Washington Rd.
Westminster, MD 21157
USA


Jobs & Resumes: Westminster
Houses & Roommates: Westminster

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