Medical Billing and Coding (Voucher Included)

Lesson 1

1. Medical Terminology
1. Getting Started
2. How to Take This Course
3. Test-Out Exam 1: Lessons 1–Midterm Exam
4. Introduction to Medical Terminology and the Human Body in Health and Disease
5. The Musculoskeletal System
6. The Cardiovascular System
7. The Lymphatic and Immune Systems
8. The Respiratory System
9. The Digestive System
10. The Urinary System
11. Midterm
12. Test-Out Exam 2: Lessons 8–Final Exam
13. The Nervous System
14. Special Senses: The Eyes and Ears
15. The Integumentary System
16. The Endocrine System
17. Mental Health
18. Male and Female Reproductive Systems
19. Diagnostic Procedures, Nuclear Medicine, and Complementary Medicine
20. Final Exam
2. Medical Billing and Coding
   1. Introduction to Medical Billing and Coding
      1. Career Opportunities
      2. Personal and Technical Qualifications
      3. Employment Settings
      4. Telecommunications
      5. Professional Certifications
   2. Introduction to Health Insurance
      1. Health Insurance Terminology
      2. Commercial and Government Payers
      3. Healthcare Documentation
      4. Electronic Health Record
   3. Managed Healthcare
      1. Types of Reimbursement
      2. Managed Care Providers
      3. Managed Care Models
      4. Consumer-Directed Health Plans
   4. Revenue Cycle Management
      1. Phases of Revenue Cycle Management
      2. Encounter Form, Chargemaster
      3. Insurance Claim Cycle
      4. New Patient Registration
      5. Collection Practices
   5. Legal Aspects of Health Insurance and Reimbursement
      1. Laws Affecting Healthcare
      2. Protected Health Information
      3. Health Insurance Portability and Accountability Act (HIPAA)
      4. Fraud and Abuse in Medical Billing and Coding
      5. Release of Information
   6. VI. ICD-10-CM Coding
      1. Overview of ICD-10-CM
      2. Key Features
      3. Organization of the Codebook
      4. Index to Diseases and Injuries
      5. Tabular List of Diseases and Injuries
      6. Coding Conventions
      7. Official Guidelines
   7. CPT Coding
      1. Overview of Healthcare Common Procedure Coding System (HCPCS)
      2. Category I, Category II, and Category III Codes
      3. Organization of the Codebook
      4. Main CPT Sections
      5. Evaluation and Management
      6. Anesthesia
      7. Surgery
      8. Radiology
      9. Pathology and Laboratory
      10. Medicine
      11. Code Modifiers
   8. HCPCS Level II Coding
      1. Overview of HCPCS Level II
      2. Organization of the Codebook
      3. Durable Medical Equipment
   9. ICD-10-PCS Coding
      1. Overview of ICD-10-PCS
      2. Code Structure
      3. Definitions
      4. Index
      5. Code Tables
      6. Coding Steps
   10. Pharmacology for Coders
       1. Pharmacodynamics and Pharmacokinetics
       2. Routes of Administration
       3. Drug Classifications
       4. Prescription Drugs and Over-the-Counter Drugs
       5. Controlled Substances
       6. Medication Lists and the Electronic Health Record
       7. MIDTERM
   11. Clinical Documentation Improvement (CDI)
       1. Deficiencies in Documentation
       2. Medical Necessity
       3. Auditing
       4. Coding From Patient Documentation
   12. Coding with Your Codify Encoder
   13. Insurance Claims
       1. National Uniform Claim Committee
       2. CMS-1500 Claim Form
       3. Patient and Insured Information
       4. Physician or Supplier Information
       5. UB-04 Claim Form
   14. Commercial Insurance
       1. Individual/Group Health Insurance, Automobile, Disability, Liability, Workers' Compensation
       2. Completing Commercial Health Insurance Claims
   15. Blue Cross Blue Shield
       1. History of BCBS
       2. Types of BCBS Plans
       3. Participating/Nonparticipating Providers
       4. BCBS Billing and Payment Guidelines
   16. Medicare
       1. Medicare Eligibility
       2. Medicare Part A, B, C, and D
       3. National Coverage Determinations/Local Coverage Determinations
       4. Participating/Nonparticipating Providers
       5. Physician Fee Schedule
       6. Medicare Billing and Payment Guidelines/NCCI
   17. Medicaid, CHIP, TRICARE, Workers' Compensation
       1. Medicaid
       2. Children's Health Insurance Program (CHIP)
       3. TRICARE
       4. Workers' Compensation
   18. Certification
       1. Selecting the Right Certification
       2. Study Strategies for the Certification Exam
       3. Prior to the Exam
       4. Morning of the Exam
       5. During the Exam
   19. How to Find a Job in Medical Billing and Coding
       1. Formulating Your Career Goals
       2. What Employers Want
       3. Showcasing Your Skills
       4. Resume Tips
       5. Cover Letter Tips
       6. Interview Questions
   20. Land the Job
   21. Mock Exam
   22. Final Exam
   23. ICD-11 Preview