Medical Billing and Coding GES 111 » 240 hours

Lesson 1:  Introduction to Healthcare

• Medical Introduction and Overview
• Health Insurance Portability and Accountability Act (HIPAA)
• Laws and Ethics                                                       

Lesson 2:  ICD-9-CM Overview

• ICD-9-CM Coding Manual Layout and Structure
• ICD-9-CM Coding Manual Conventions
• Abstracting from the Medical Records
• Steps for Diagnostic Coding Using the ICD-9-CM

Lesson 3:  ICD-9-CM Diagnostic Coding I

• General Coding Guidelines for all Chapters in the ICD-9-CM
• Coding Infectious and Parasitic Diseases
• Coding Neoplasms

Lesson 4:  ICD-9-CM Diagnostic Coding II

• Coding Endocrine, Nutritional, and Metabolic and Immunity Disorders
• Coding Diseases of the Blood and Blood-Forming Organs
• Coding Mental, Behavioral, and Neurodevelopmental Disorders
• Coding Diseases of the Nervous System and Sense Organs
• Coding Diseases of the Circulatory System
• Coding Disease of the Respiratory System
• Coding Diseases of the Digestive System
• Coding Diseases of the Genitourinary System

Lesson 5:  ICD-9-CM Diagnostic Coding III

• Coding Complications of Pregnancy, Childbirth, and the Puerperium
• Coding Diseases of the Skin and Subcutaneous Tissue
• Coding Diseases of the Musculoskeletal System and Connective Tissues
• Coding Congenital Anomalies
• Coding Certain Conditions Originating in the Perinatal Period

Lesson 6:  ICD-9-CM Diagnostic Coding V and E Codes

• Coding Supplementary Classification of Factors Influencing Health Status and Contact with Health Services
• Coding Supplementary Classification of External Causes of Injury and Poisoning
• Coding ICD-9-CM Volume 3 Procedures

Lesson 7:  ICD-9-CM Guidelines Sections II-IV and Appendix I

• ICD-9-CM Guidelines Sections II:  Selection of Principal Diagnosis
• ICD-9-CM Guidelines Section III:  Reporting Additional Diagnoses
• ICD-9-CM Guidelines Section IV:  Diagnostic Coding and Reporting Guidelines for Outpatient Services
• ICD-9-CM Guidelines Appendix I:  Present on Admission

Lesson 8:  Current Procedural Terminology (CPT) Introduction

• CPT Coding Manual Layout
• CPT Coding Manual Conventions
• CPT Procedural Coding Steps
• Coding Evaluation and Management (E&M) Services

Lesson 9:  CPT Procedural Coding I

• Coding Anesthesia Services
• Coding Surgery Services
  • Integumentary System
  • Musculoskeletal System
  • Respiratory System
  • Cardiovascular System

Lesson 10:  CPT Procedural Coding II

• Coding Surgery Services
  • Hemic and Lymphatic Systems
  • Mediastinum and Diaphragm
  • Digestive System
  • Urinary System
  • Male and Female Genital System
  • Reproductive System
  • Intersex Surgery
  • Maternity Care and Delivery
  • Endocrine System
  • Nervous System
  • Eye and Ocular Adnexa
  • Auditory System
  • Operating Microscope

Lesson 11:  CPT Procedural Coding II and HCPCS

• Laboratory and Pathology Coding
• Radiology Coding
• Medicine Coding
• HCPCS Level II Coding
• Coding for Medical Necessity

Lesson 12:  Billing and Reimbursement

• Medical Insurance Overview
• Insurance Carriers
  • Blue Cross/Blue Shield
  • Medicare
  • Medicaid
  • TRICARE
  • Worker's Compensation
  • Billing and Reimbursement
  • CMS-1500 Medical Insurance Claim Form
  • Reimbursement and Follow-up

Completion and Certification