Medical Billing Specialist Module 1
Medical Terminology
• Basic Word Structure
• Suffixes and Prefixes
• Organization of the Body
• Body Systems
• Diagnostic Tests and Procedures
• Common Abbreviations and Symbols
Medical Billing Specialist Module 2
The Billing Specialist and Health Insurance
• The Qualifications of the Billing Specialist
• Legal Aspects of Insurance Billing
• Health Insurance Terminology
• Paying with Health Insurance
• International Classification of Diseases
• Clinical Modification
• ICD-9-CM Components
• Diagnostic Codes
• Miscellaneous Coding Guidelines
• The ICD-10-CM
Medical Billing Specialist Module 3
Procedural Terminology, Insurance Claims,and Managed Care
• Current Procedural Terminology (CPT)
• CPT Coding Format Conventions
• Health Care Financing Administration
• Procedure Coding System
• Using the HCPCS System
• HCPCS Level II and Level III
• Developing an Insurance Claim
• Health Care Financing Administration (HCFA) Guidelines
• HCFA – 1500: Completion Guidelines
• Electronic Claims
• Managed Care Organizations
Medical Billing Specialist Module 4
Types of Insurance Coverage Plans
• Blue Cross / Blue Shield Plans
• Medicare Health Plan
• Medicaid Coverage and Billing
• Tricare Billing
• CHAMPVA Claims
• Fraud and Abuse
• Workers' Compensation |
We take great pride in providing you with the most up-to-date medical billing and coding specialist textbooks and equipment. One or more of the above-mentioned subjects may, therefore, change if updating becomes necessary during course of your studies. The order in which the material is presented may vary.
This program is specifically designed to serve as an introduction or enhancement of the theoretical knowledge required for the vocational application of this subject. It is intended to help individuals in the furtherance of their vocational training and is not intended as a substitute for licensing or certification requirements, which may include an apprenticeship or additional training, as required by law.
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| You have made the course very easy to understand and to follow. — E.B. - Georgia |
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| I am very pleased with my success in graduating from my course. I got a lot of help from the staff at SCI. The program was made simple to understand and I am very thankful to you all. — J.C. - New Jersey |
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