Medical Billing and Coding Specialist Module 1
Medical Terminology
In order to become a successful medical billing specialist, you have to have knowledge of modern medical terminology. In this section of your program, you will be learning about…
· Basic word structure
· Suffixes and prefixes
· Organization of the body
· Body systems
· Diagnostic tests and procedures
· Common abbreviations and symbols
Medical Billing and Coding Specialist Module 2
The Billing Specialist and Health Insurance
The medical billing specialist must be aware of the legal aspects of insurance billing. A knowledge of health insurance terminology is also an asset. Various coding guidelines have to be followed very carefully. Here you will learn about…
· The qualifications of the billing specialist
· Legal aspects of insurance billing
· Health insurance terminology
· Paying with health insurance
· International Classification of Diseases,9th revision, Clinical Modification
· ICD-9-CM components
· Diagnostic codes
· Miscellaneous coding guidelines
· The ICD-10-CM
Medical Billing and Coding Specialist Module 3
Procedural Terminology, Insurance Claims, and Managed Care
The medical billing specialist must be well versed in current procedural terminology. Health care procedure coding will also be front and center when you start developing insurance claims. The proper forms must be completed, sometimes electronically. You will gain knowledge about…
· Current Procedural Terminology ( CPT )
· Health Care Financing Administration Common Procedure Coding System
· Using the HCPCS system
· CPT coding format conventions
· HCPCS level I and level II
· Developing an insurance claim
· Health Care Financing Administration (HCFA) Guidelines
· HCFA – 1500 completion guidelines
· Electronic Claims
· Managed care organizations
Medical Billing and Coding Specialist Module 4
Types of Insurance Coverage Plans
Fraud and abuse are becoming more prevalent in medical billing. The government and the large insurance companies are always looking for ways to combat this type of behavior. In this section of your program, you will be learning about…
· Blue Cross / Blue Shield plans
· Medicare Health Plan
· Medicaid coverage and billing
· Tricare billing
· CHAMPVA claims
· Fraud and abuse |
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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