Medical Billing and Coding

GES 111 -- 240 hours

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
    • Industry basics
    • CMS-1500 Claim Form
    • UB-92 Claim Form
    • Electronic Filing & Remittance
    • Reimbursement
    Module 7 - Patient Billing and Collections
    • Processes
    • Rules & regulations
    Module 8 - CCA Prep
    
    

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