Medical Coding & Billing

Course Curriculum

Chapter 1

  • The World of Healthcare
  • Medical Insurance 101
  • Ethics and Legal Issues
  • Medical Records
  • Introduction to Medical Terminology
  • Dividing and Combining Medical Terms
  • Abbreviations, Symbols and Special Terms
  • Body Systems
  • Resources for the Healthcare Professional
  • Electronic Health Records

Chapter 2

  • Coding for the Medical Biller
  • Private Insurance and Managed Care Programs
  • Medicaid, PACE, CHIP and Medicare
  • Military Insurance, Workers Compensation and COBRA
  • Determining Payment
  • Introducing the CMS-1500 Claim Form
  • Explanation of Benefits
  • Secondary Claims
  • Preparing the UB-04 Claim Form
  • Insurance Follow-up and Preparing the CMS-1500
  • Medical Billing Technology

Chapter 3

  • Introduction to Anatomy
  • Anatomy: Landmarks and Divisions
  • Cell and Tissue Anatomy and Pathology
  • Introduction to ICD-10-CM and Coding for Infections
  • ICD-10-CM Coding from Blood to Metabolic Diseases
  • ICD-10-CM Coding from Mental Disorders to the Circulatory System
  • ICD-10-CM Coding from Digestive to Musculoskeletal
  • ICD-10-CM Coding from Genitourinary System to Complications of Pregnancy
  • ICD-10-CM Coding from Symptoms to Abnormal Findings
  • ICD-10-CM Coding from Morbidity to Health Factors

Chapter 4

  • CPT Coding 101
  • Surgical Coding, Part 1
  • Surgical Coding, Part 2
  • Radiology, Pathology, Anesthesia and Medicine
  • Integrating Diagnostic and Procedural Codes

Chapter 5

  • Evaluation and Management Services
  • Comprehensive Evaluation and Management
  • The Basics of HCPCS Coding and Final Coding Quiz

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