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Medical Billing and Coding

GES 111 -- 240 hours

Course Outline

Module 1 - Introduction to Healthcare

• Course Introduction and Overview


Module 2 – Law, Ethics & HIPAA
• Health Insurance Portability and Accountability Act (HIPAA)
• Law & Ethics


Module 3: 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 4 - 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 5 - 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 6 – 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




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