The eLearning Center for Healthcare

This nationally recognized Medical Billing and Coding online training certificate program is designed to prepare students to fill positions for medical coding and billing professionals. Skilled medical billing and coding technicians are in high demand these days! In recent years, there has been a rapid increase in medical tests, treatments, and procedures that will be increasingly scrutinized by health insurance companies, regulators, courts, and consumers. Also, patient information must be entered into computer databases to comply with new Federal legislation requiring the use of electronic patient records. Finally, health care facilities are having difficulty attracting qualified workers, mostly because of the lack of both formal training programs and sufficient resources to provide on-the-job training for coders. All of these factors have combined to create a huge potential job market for qualified medical records technicians, and this course will provide you with the skill set and expertise that will make you irresistible to prospective health care employers. Upon successful completion of the Medical Billing and Coding course, students will be prepared for an entry-level position doing medical billing or coding in a medical office setting and will be prepared to sit for the CCA national certification exam. Some typical tasks for the Medical Billing/Coding Professional include:

• Registering of patient information.
• Performing insurance verification, pre-authorization and referral tasks.
• Preparing and posting transactions on day sheets, charge tickets and patient accounts.
• Coding and billing insurance claims.
• Collecting patient payments and performing collection activities.

Please Note: This course prepares you for the CCA certification. You must also meet the Professional Association's Eligibility Requirements for the examination. The American Health Information Management Association's (AHIMA) eligibility requirement is a high school diploma or equivalent. This online Medical Billing and coding course is only offered in partnership with major Colleges and Universities.

Module 1 - Introduction to Healthcare

 

• Various professions and opportunities
• Medical Specialties

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 - 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 5 - 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
      • Evaluation and Management Categories
      • Most Commonly Used E&M Categories
      • Levels of Service
    • Anesthesia
    • Surgery
      • Surgical Packages
        • 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 6 - Insurance Billing

    • Industry basics
    • CMS-1500 Claim Form
    • UB-92 Claim Form
    • Electronic Filing & Remittance
    • Reimbursement

    Module 7 - Patient Billing and Collections

    • Processes
    • Rules & regulations

    Module 8 - CCA Prep