Medical Insurance Billing & Coding

Medical Terminology

This course is designed to give the student introductory knowledge of the basic structure of medical words, and introduction to anatomical regions, body structure and the Body Systems

Unit I                Introduction to Word Parts

Unit II              Body Structure

Unit III             Directional Terms and Anatomical Regions

Unit IV             Introduction to Body Systems

Medical Insurance

This course will provide the student with an ability to identify the different types of insurance carriers, a basic understanding of claims processing, and an insight into managed care organizations

Unit I                Introduction to Managed Care and Medical Insurance

                        Introduction to Claims Processing

                        Identifying Private and Government sponsored health insurance carriers

Unit II              Provider Charges and Payment methods

                        The Universal Health Insurance Claim Form: HCFA-1500

Medical Office Software (Medisoft) 

This course will introduce the student to the operations of a computerized medical office and provide an introductory understanding of a medical software application.

Unit I                Introduction to Computers in the Medical Office

                        The Flow of Information in the Medical Office

                        The Task Cycle

Unit II              The Role of Computers in the Medical Office

                        Introduction

                        A Typical Day in a Computerized Medical Office

                        Medical Office Applications

                        Advantages of Computers

Unit III             Medisoft for Windows Training

                        Introduction to Medisoft

                        What is Medisoft?

                        How Medisoft Data is Organized and Stored

                        Starting Medisoft

                        The Medisoft Menu Bar and Toolbar

                        Entering and Editing Data and Dates

                        Saving, Deleting and Backing up Data

                        Using Medisoft Help and Exiting the Medisoft Program

Medical Coding – CPT and ICD-9-CM Coding

This course will provide an introductory knowledge of basic coding practices, the breakdown of the sections in the CPT and ICD-9CM coding manuals, and the ability to differentiate clinical diagnostic codes from medical procedural codes. 

Current Procedural Terminology (CPT)
Introduction to CPT: The CPT Manual

Evaluation & Management (E/M) Section:
Contents of the E/M Section
Three factors of E/M Codes
Levels of E/M Service
Using the E/M Codes and Examples

Surgery Section and Integumentary System

Introduction to the Surgery section
General and Integumentary system
Musculoskeletal System
Format and Coding Highlights
Application of Casts and Strapping
Endoscopy/Arthroscopy

Respiratory System
Format and Coding highlights
Nose
Accessory Sinuses
Larynx
Trachea & Bronchi
Lungs and Pleura

Cardiovascular System
Coding highlights
Cardiovascular coding

Female Genital System and Maternity Care and Delivery
Female Genital system
Maternity care and delivery

General Surgery
Male Genital system
Intersex surgery
Urinary system
Digestive system
Mediastinum and Diaphragm
Hemic and Lymphatic Systems
Endocrine system
Nervous system
Eye and Ocular Adnexa
Auditory system

Radiology
Format and Radiology terminology
Procedures and Planes
Guidelines
The Four Radiology Subsections

Pathology/Laboratory Section
Format
Subsections

Medicine Section and Level II National Codes
Noninvasive Diagnostic and Therapeutic Services