- Description
- Objectives
- Outline
- Materials
- Certification
- System Requirements
- Watch a Demo
Our Medical Billing Specialist program will prepare students for a careen in one of the fastest growing health professions. Medical Billing is listed as one of the fastest growing professions in allied health. The medical industry is experiencing a tremendous demand for individuals with knowledge of medical office operations, terminology and includes diagnostic and procedural insurance forms processing.
Medical Terminology
After completing this course, you should be able to:
- Identify how to gain and understand the basic word structure in medical terminology
- Recognize how to relate the medical terms to the structure and function of the human body
- Identify body systems, body cavities, and planes of the body
- Define words by dividing them into their component parts
- Recall the terminology used with medical specialists and case reports
Medical Billing
After completing this course, you should be able to:
- Identify the core elements of health insurance
- List features of the different coding systems and their documentation
- Define the features of processing claim forms both electronic and paper
- Recall the basics of fee and insurance collection
- Recognize the features of various health care payer types
Medical Terminology
Medical Terminology Module 1
Basic Word Structure
- Word Analysis
- Combining Forms
- Suffixes & Prefixes
- Pronunciation of Terms
- Exercises & Applications
Medical Terminology Module 2
Organization of the Body
- Body Systems and Cavities
- Divisions of the Back
- Planes of the Body
- Pronunciation of Terms
- Exercises & Applications
Medical Terminology Module 3
Suffixes
- Introduction to Suffixes
- Suffixes and Terminology
- Diagnostic & Procedural Suffixes
- Pronunciation of Terms
- Exercises & Applications
Medical Terminology Module 4
Prefixes
- Combining Forms & Prefixes
- Prefixes and Terminology
- Define Common Prefixes
- Pronunciation of Terms
- Exercises & Applications
Medical Terminology Module 5
Medical Specialists & Case Reports
- Medical Specialists
- Combining Forms & Vocabulary
- Case Reports & Terminology
- Pronunciation of Terms
- Exercises & Applications
Medical Terminology Module 6
Body Systems – Part 1
- Cardiovascular System
- Digestive System
- Endocrine System
- Female Reproductive System
- Lymphatic System
Medical Terminology Module 7
Body Systems – Part 2
- Male Reproductive System
- Musculoskeletal System
- Nervous System
- Respiratory System
- Skin & Sense Organs
- Urinary System
**Outlines are subject to change, as courses and materials are updated.**
Medical Billing
Medical Billing Module 1
Basics of Insurance Billing and Compliance
- Insurance Billing Specialist
- Insurance Claims, Coding, & Billing Background
- Medical Etiquette
- Medical Ethics
- Health Insurance Portability and Accountability Act (HIPAA)
- Fraud and Abuse Laws
- Compliance Programs
- Health Care Reform
- Insurance Policies
Medical Billing Module 2
Basics of Health Insurance
- History of Health Insurance in the United States
- Health Care Reform
- Types of Health Insurance Coverages
- Private Health Insurance
- Managed Care Systems
- Financial Management
- Medicare
- Policies and Regulations
- Medicare Reimbursement
- Claim Submission
Medical Billing Module 3
State Programs and Veterans’ Health Care
- Medicaid Programs
- Medicaid Eligibility
- Medicaid Benefits
- Medicaid Managed Care
- TRICARE
- History of Tricare
- Health Plans
- Veterans Health Administration Program
Medical Billing Module 4
Workers’ Compensation and Disability Programs
- Workers’ Compensation Laws and Insurance
- Types of State Compensation Benefits
- Fraud and Abuse
- Legal Situations
- Reporting Requirements
- Disability Claims
- Disability Income Insurance
- Federal Disability Programs
- State Disability Insurance
- Voluntary Disability Insurance
Medical Billing Module 5
Documentation and Coding for Professional Services
- Documentation Process
- Electronic Health Records
- Health Record Documentation
- Review and Audit of Health Records
- Diagnostic Coding
- Official Guidelines for ICD-10-CM
- Procedural Coding
- Current Procedural Terminology Content and Format
- Code Modifiers
Medical Billing Module 6
Claims Submission in the Medical Office
- The Paper Claim CMS-1500
- Types of Submitted Claims
- Health Insurance Claim Form (CMS-1500)
- Claim Completion Guidelines
- Electronic Claims
- Clearinghouses
- Claim Attachment Standards
- Practice Management System
- Computer Claims Systems
Medical Billing Module 7
The Claim Follow-Up and Payment Process
- Revenue Cycle Management
- Claim Policy Guidelines
- Explanation of Benefits
- Claim Management Techniques
- Rebilling
- Review and Appeal Process
- Filing an Appeal
- Collection Strategies
- Accounts Receivable
Medical Billing Module 8
Healthcare Facility Billing
- Ambulatory Surgery Centers
- Payment Systems
- Payment Rates
- Revenue Cycle Management
- Medical Records for Reimbursement
- Hospital Outpatient and Inpatient Billing
- Employment Opportunities
- Self-Employment
**Outlines are subject to change, as courses and materials are updated.**
All course materials included.
Medical Billing
Upon successful completion of our Medical Billing course, students will be prepared for an entry-level position doing medical billing in a medical office setting and will be prepared to sit for the Med-Certification exam to become a Certified Medical Billing Specialist (CBS) or the AAPC certification exam to become a Certified Professional Biller (CPB).
Note: This course is not affiliated with, nor has it been endorsed by AAPC.
Internet Connection
- Broadband or High-Speed - DSL, Cable, and Wireless Connections
*Dial-Up internet connections will result in a diminished online experience. Classroom pages may load slowly and viewing large audio and video files may not be possible.
Hardware Requirements
- Processor - 2GHz Processor or Higher
- Memory - 1 GB RAM Minimum Recommended
PC Software Requirements
- Operating Systems - Windows 7 or higher
- Microsoft Office 2013 or higher. Also, you could use a general Word Processing application to save and open Microsoft Office formats (.doc, .docx, .xls, .xlsx, .ppt, .pptx)
- Internet Browsers - Google Chrome is highly recommended
- Cookies MUST be enabled
- Pop-ups MUST be allowed (Pop-up Blocker disabled)
- The Kindle Reader App or VitalSource Bookshelf App are needed for many of our courses (No special equipment needed. This can be downloaded for FREE onto your computer.)
- PowerPoint Viewer (if you do not have PowerPoint)
- Adobe PDF Reader
- QuickTime, Windows Media Player &/or Real Player
MAC Software Requirements
- Operating Systems - Mac OS x 10 or higher with Windows
- Mac office programs or a Word Processing application to save and open Microsoft Office formats (.doc, .docx, .xls, .xlsx, .ppt, .pptx)
- Internet Browsers- Google Chrome is highly recommended
- Cookies MUST be enabled
- Pop-ups MUST be allowed (Pop-up Blocker disabled)
- The Kindle Reader App or VitalSource Bookshelf App are needed for many of our courses (No special equipment needed. This can be downloaded for FREE onto your computer.)
- PowerPoint Viewer (if you do not have PowerPoint)
- Adobe PDF Reader
- Apple QuickTime Media Player
