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Administrative Medical Specialist with Medical Billing and Coding

GES 102 -- 300 hours

Course Outline

Module 1 - Introduction to Healthcare

• Various professions and opportunities
• Medical Specialties
• AMS job descriptions and duties (medical asst/reception/billing & collecting)
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 – Administrative Module I: Front Desk/Reception
• Roles & duties
• Description of administrative responsibilities
• Appointment Scheduling and tracking
• Medical Records management
• Perform associated tasks using Medical Office Simulation Software (MOSS©)
Module 5 – Administrative Module II: Patient Registration/Billing & Collections
• Processes
• Rules & regulations
• Transaction Entries
• Claims Management
• Reports Generation
• Perform associated tasks using Medical Office Simulation Software (MOSS©)
Module 6 - 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 7 - 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
    • Anesthesia
    • Surgery
      • 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 8 – Administrative Module III: Insurance Billing
• Industry basics
• CMS-1500 Claim Form
• UB-92 Claim Form
• Electronic Filing & Remittance
• Reimbursement
• Perform associated tasks using Medical Office Simulation Software (MOSS©)
Module 9 – Certified Coding Associate Prep



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