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Administrative Medical Specialist with Medical Billing and Coding + Medical Terminology

GES 123 -- 360 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


    Medical Terminology

      • Learning Medical Terminology
      • The Body as a Whole
      • The Integumentary System
      • The Musculoskeletal System
      • The Respiratory System
      • The Cardiovascular System
      • The Digestive System
      • The Urinary System
      • The Nervous System
      • The Endocrine System
      • The Sensory System
      • The Hematic, Lymphatic, and Immune Systems
      • The Female Reproductive System
      • The Male Reproductive System