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Administrative Medical Specialist with Medical Billing and Coding

GES 102 -- 300 hours

Course Outline

Module 1 - Introduction to Healthcare

• Course Introduction and Overview
• Medical Assisting as a Profession
• Healthcare: Past, Present & Future
• Communication Skills
• Introduction to Medical Office Simulation Software (MOSS)




Module 2 – Law, Ethics & HIPAA

• Health Insurance Portability and Accountability Act (HIPAA)
• Law & Ethics




Module 3:  The Patient Encounter

• Telephone Procedures
• Appointment Scheduling
• MOSS© Appointment Scheduling
• Filing Procedures
• Medical Records Management
• The Receptionist & Facility Environment
• MOSS© Patient Registration
• Drugs & Medications
• MOSS© Procedure and Payment Posting




Module 4: Billing & Reimbursement

• Medical Insurance Overview
• Billing & Reimbursement
• CMS-1500 Claim Form (Provider)
• MOSS© Insurance Processing
• Insurance Carriers
• Blue Cross/Blue Shield
• Medicare
• Medicaid
• TRICARE
• Worker’s Compensation
• Reimbursement & Follow-up




Module 5 - Diagnostic Coding

• Diagnosis Coding Overview
• Abstracting from the Medical Document
• ICD9 Conventions, Layout and Guidelines
• Steps for Diagnostic Coding
• ICD9 Guidelines by Body System




Module 6 - Procedural Coding

• CPT Overview
• Evaluation & Management Coding
• Anesthesia Coding
• Surgery Coding (by body and organ system)
• Laboratory & Pathology Coding
• Radiology Coding
• Medicine Coding
• HCPCS Level II Coding




Module 7:  Business Office / Management

• Daily Financial Practices
• Accounting Practices
• Medical Office Simulation Software (MOSS©)
• Office Manager
• Human Resources Management




Module 8 – Completion & Certification Prep

• Instructions for marking course complete
• Employment Strategies
• Certification
• Steps to access National Healthcareers Association
• Certification preparation module
• Certification handbook and study guide
• Certification exam




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