Medical Billing and Coding GES 111 » 240 hours

Overview Description Objectives Outline Prerequisites PC Requirements / Materials Instructor Bio See a Demo

  1. Lesson 1 - Introduction to MBC
  2. Lesson 2 – Law, Ethics & HIPAA
    1. Health Insurance Portability and Accountability Act (HIPAA)
    2. Law & Ethics
  3. Lesson 3: Billing & Reimbursement
    1. Billing & Reimbursement
      1. CMS-1500 Claim Form (Provider)
    2. Insurance Carriers
      1. Blue Cross/Blue Shield
      2. Medicare
      3. Medicaid
      4. TRICARE
      5. Worker's Compensation
    3. Reimbursement & Follow-up
  4. Lesson 4 - Diagnostic Coding
    1. Diagnosis Coding Overview
    2. Abstracting from the Medical Document
    3. ICD9 Conventions, Layout and Guidelines
    4. Steps for Diagnostic Coding
    5. ICD9 Guidelines by Body System
  5. Lesson 5 - Procedural Coding
    1. CPT Overview
    2. Evaluation & Management Coding
    3. Anesthesia Coding
    4. Surgery Coding (by body and organ system)
    5. Laboratory & Pathology Coding
    6. Radiology Coding
    7. Medicine Coding
    8. HCPCS Level II Coding
  6. Lesson 6 – Completion & Certification Prep
    1. Instructions for marking course complete
    2. Employment Strategies
    3. Certification
      1. Steps to access National Healthcareers Association
        1. Certification preparation module
        2. Certification handbook and study guide
        3. Certification exam