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The student will gain an understanding of the importance of legal issues, the usage of basic reference books, the medical billing process, and how to complete the CMS 1500. The student will also learn principles and eligibility guidelines for billing Medicare, Medicaid, TRICARE, CHAMPVA, Worker’s Compensation, and Coordination of Benefit guidelines.
Students build on their keyboarding and word processing skills by using such programs as Microsoft Word and Microsoft Excel, as well as developing the self-directed job search process by identifying and demonstrating what a successful job interview contains and how to answer common interview questions accurately. Students check vital signs and differentiate between normal values for pediatric and adult patients.
Knowledge of the use of Electronic Health Records (EHR) which replaces all manual charts in a physician’s office. The student will learn how to gather information from demographics, medical history, progress notes, medications, and insurance data.
In this course the students will understand the insurance industry and the responsibilities of departments with insurance companies and the claims examiners. Students will also learn to interpret insurance contracts, the legal ramifications of specific actions, how to calculate UCR, and how to process health claims. In this course the students will gain practical knowledge of an on-line medical billing or claims processing system and will actually be involved in processing or billing claims on these systems. All the rules […]
In this course the students will gain practical knowledge of an on-line medical billing or claims processing system and will actually be involved in processing or billing claims on these systems. All the rules they would be expected to obey on the job will be demonstrated by the student, including proper grooming and attire, showing up on time, dealing with co-workers (other students) and supervisors (teachers), processing or billing claims quickly and accurately, and proper use of reference materials.
This course provides students with knowledge of the location and function of the human body systems. This course covers insurance Terminology including commonly used terms and abbreviations. Students are introduced to the use and proper completion of the CMS 1500, UB-04, and other forms. Students are introduced in the proper use of ICD-9, HCPCS and CPT codebooks.
In this course students will learn dental claims processing, the structures of teeth and mouth, dental benefit structures, and temporomandibular joint dysfunction, as well as other surgeries and procedures of the mouth. In this course the student will be trained for and receive their CPR certification.
The student will learn to use the ICD-9, HCPCS and CPT for coding diagnoses and procedures, as well as familiarize themselves with different types of medical reports (triage, diagnostic, operative reports and medical histories) and how to use these reports to bill for services rendered. Students will also learn the use and the proper completion of the CMS-1500 physical billing claim form and the UB-04 hospital billing claim form.
The student gains a working knowledge of basic medical and insurance terminology. The student learns the meaning and pronunciation of medical terms, including root words, and the combining forms using suffixes and prefixes. A thorough presentation of terms and abbreviations used with the different body systems includes the cardiovascular, musculoskeletal, integumentary, genitourinary, nervous, respiratory, digestive, and endocrine systems. Students will also learn the medical abbreviations associated with medical service providers.