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).
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.
Medical Terminology
Introduction to Body Organization
The Structure of Medical Words - root, suffix & prefix
How words are constructed in medical terminology
Introduction to various body systems
(musculoskeletal, cardiovascular, lymphatic,
respiratory, nervous, endocrinal, digestive, urinary,
reproductive, etc.) and related terminology
Terminology related to common diagnostic tests and procedures, common treatments and therapies.
Areas of Medical Terminology such as medical
specialties
Units of medical measurement
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)
Medical Insurance & Billing
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
