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HealthEdToday MedBillCoding

This document discusses a medical billing and coding program that provides training on coding healthcare services and procedures for insurance reimbursement. The program covers topics like ICD-9, ICD-10, CPT and HCPCS coding manuals, coding evaluation and management services, procedures, diagnostic and laboratory services, and completing insurance forms.

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nallaakhil741
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24 views1 page

HealthEdToday MedBillCoding

This document discusses a medical billing and coding program that provides training on coding healthcare services and procedures for insurance reimbursement. The program covers topics like ICD-9, ICD-10, CPT and HCPCS coding manuals, coding evaluation and management services, procedures, diagnostic and laboratory services, and completing insurance forms.

Uploaded by

nallaakhil741
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Medical Billing & Coding

The Medical Billing & Coding Profession Education & Certification


Medical billing and coding is one of the fastest-growing careers in  Students should have or be pursuing a high school diploma
the healthcare industry today! The need for professionals who or GED.
understand how to code healthcare services and procedures for
 Numerous national certification exams are available for
third-party insurance reimbursement is growing substantially.
students who complete this course including American
Physician practices, hospitals, pharmacies, long-term care
Academy of Professional Coders (AAPC), American Health
facilities, chiropractic practices, physical therapy practices, and
Information Association (AHIMA) and others.
other healthcare providers all depend on medical billing and
coding for insurance carrier reimbursement. The medical industry  Certain national certification organizations suggest 6 months
will have almost 50% more jobs available by 2018; therefore, a to 2 years of practical work experience prior to pursuing
surplus of medical facilities will continue to hire candidates who certain national certification exams.
specialize in medical billing and coding.
Detailed Course Topics Covered
The Medical Billing & Coding Program • Intro to International Classification of Diseases, Clinical
This billing and coding program delivers the skills students need Modifications & Coding Guidelines
to solve insurance billing and coding problems. It details proper • Introduction to the organization and use of the ICD-9-CM,
assignment of codes and the process to file claims for ICD-10-CM, and CPT manuals
reimbursement. With the transition to ICD-10, effective as of • Basics of diagnostic and procedural coding
October 1, 2015, this course will also provide training in ICD-10- • The Health Insurance Claim Form (CMS 1500)
CM. This course covers the following key areas and topics: • HIPAA and Electronic Data Interchange (EDI)
• Review and practice coding Evaluation and Management
(E&M) services
 An overview of healthcare & insurance industry
• Review and practice coding from anesthesia, surgery,
 The organization and use of the ICD-9-CM, ICD-10-CM, radiology, medicine, and the pathology/laboratory sections of
CPT, and HCPCS manuals to identify correct codes the CPT
 Detailed review and practice using the alphabetic index • CPT Modifiers, E and V Codes, and Late Effects
and tabular list of the ICD-9-CM, ICD-10-CM, and • Coding surgical procedure and medical procedures for the
practice coding examples within the CPT cardiovascular, integumentary, male/female reproductive
 Basic claims processes for medical insurance and third- systems, maternity care and delivery
party reimbursements • Coding for general surgery, radiology, pathology, diagnostic,
 Completing common insurance forms, tracing therapeutic and laboratory services and the Level II National
delinquent claims, and appealing denied claims Codes
• Tracing delinquent claims & insurance issues
 ICD-10-CM Overview
• Third-party reimbursement issues
• Development of and Improvements to the ICD-10-CM Coding
Manual
• Examination of the ICD-10-PCS system

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