Education Database Online

This course provides an overview of how health care is primarily structured and delivered in the U.S. Topics include how different components of the health care system interact with one another to serve health care needs. Students explore complex and critical issues facing the health care delivery system in the United States.

This course introduces basic financial management and accounting methods and procedures for health care organizations. Students apply financial management concepts that assist managers in planning, monitoring, and controlling an organization’s operations.

This Course Covers The Basic Principles Of Coding With Cpt/hcpcs. Instruction Emphasizes Outpatient Coding, Including Structure, Rules And Guidelines. Students Develop Skills In Using Cpt To Report Reimbursable Services.

This Course Addresses The Coding Systems Used In Hospitals And Nursing Homes With Emphasis On Icd-9-cm (international Classification Of Diseases). Implications Of Diagnostic Related Groups (drgs) And Their Relationship To Coding Assignment And Financing Of Hospital Care Are Also Covered. Theory And Practice Are Provided In Coding Problem-solving And Data Quality Control Measures.

This course provides the procedures to achieve accurate billing for medical services. Students examine procedural and legal implications of the medical billing process, as well as how to fill out claim forms used in hospitals and physician practices.

This is the second course in the billing series. Topics in the introductory course are expanded and developed to a higher level of competency, including managed care, refunds, appeals, workers’ compensation, and audits.

Prerequisite: BC116a This course introduces Microsoft Access 2007 database management software. Students develop the skills required to use a database files and reports. Related topics include navigating the Access interface, structuring tables, designing queries, creating forms, and mitigating database design issues. Students will complete a comprehensive database project in which they apply the concepts learned in the class.

This class introduces students to basic computer terms and concepts. It also provides the hands-on experience and skills development necessary to perform tasks in word processing, spreadsheet, and presentation software programs.

3.00 Semester Hours/45 Lecture Hours Prerequisite: None This course offers theoretical background and historical development of contemporary health care systems. It also introduces students to the management functions of planning, organizing, decision making, staffing and controlling in conventional and integrative health care systems,

3.00 Semester Hours/45 Lecture Hours Prerequisite: None This course introduces students to basic principles of informal logic and standards of intellectual reasoning. Topics include the stages of critical thinking, points of view, assumptions and inferences, self-deception, bias and egocentrism, fallacies, and inductive strengths and weaknesses. Students use critical thinking skills to analyze and solve problems that face health care professionals

3.00 Semester Hours/45 Lecture Hours Prerequisite: None This course presents primary functions of the legal system, and how they affect the delivery of health care. Topics include legal terminology and concepts such as contracts, torts, due process, negligence, liability, etc. Students examine health-related legal theories such as informed consent, tort reform, privilege and confidentiality.

3.00 Semester Hours/45 Lecture Hours Prerequisite: None This Course Introduces The Key Concepts, Principles, And Practices Of Health Care Information Systems. Topics Include Applications Of Information Systems, Health Care Databases, Electronic Medical Records, Commercial Vendors, Decision Support Systems, Leading-edge Technologies, Departmental Design, And Record Retention, Analysis, And Evaluation. There Is A Special Emphasis On The Role Of Him Professionals And The Him Department In Modern Health Care Organizations.

3.00 Semester Hours/45 Lecture Hours Prerequisite: None This course covers the fundamentals of marketing for health care. Topics include exploring the meaning of marketing, consumer behavior, market segmentation, marketing ethics, and environmental influences that impact marketing.

3.00 Semester Hours/45 Lecture Hours Prerequisites: Bc116a, Hca200, Hca201, Hca202, Hca204 And Hca206 This Capstone Course For The Aa In Health Care Administration Covers Topics That Are Currently Important Within Health Care. Students Complete An In-depth Study Of A Topic Related To Their Career Interests.

Prerequisite: None This course focuses on whole numbers, fractions, ratios, proportions, the decimal system, and percents. Special emphasis is placed on the application of basic math skills to common workplace problems and real=life situations.

Prerequisite: None This course introduces self-awareness, heredity and environment, motivation, development and learning, perception, information processing, communication, and interpersonal relations. Important applications are made to situations people face in their work lives, including change management, stress management, goal-setting, and interpersonal relationships at work.

Prerequisite: None This course offers students insight into the foundations of the U.S. Constitution, and distribution of powers between federal and state governments, Students examine sp

3.00 Semester Hours/48 Lecture Hours Prerequisite: None This course reviews basic skills required for successful college writing, focusing on strategies to achieve effective content, organization and English usage. This course also helps students develop confidence in both personal and professional verbal presentation skills. Topics include audience evaluation, critical thinking, organization, effective listening, audience message retention, and the use of visual aids. May be substituted for GE218.

3.00 Semester Hours/48 Lecture Hours Prerequisite: None This course covers fundamentals of science, which include topics of life, health, matter, energy, plants, and animals and how they interrelate to local and earthly topology. Students review application of the scientific method as well as its limitations

Students study the evolution of information and the impact of technology on research, and learn how to access, evaluate, and synthesize acquired research. The research process and papers required, of each student include inquiry into the history of each student’s chosen career along with the assignments on how changes in technology have impacted the communication processes in the career field. Prerequisite or Corequisite: INSM180

This course is a multi-disciplinary course with the infusion of communication theory along with critical analyses of written and presented speech to include a composition/rhetoric/ textual element from the English discipline.

Students develop their expository and persuasive writing skills through varied writing experiences. Information literacy skills and research techniques are introduced and reinforced. Students apply their information literacy and writing skills to produce a paper which incorporates research in appropriate APA citation style.

This course builds on the research and writing skills developed in the previous English course. Students make critical decisions about the research necessary to produce diverse writings appropriate in content, format, and documentation. Using their research, students produce documents that will positively affect varied audiences.

This introductory course exposes students to the theoretical basis of computing science. Students study the social, educational and career implications of computer hardware and system software, as well as emerging technologies. Learners will apply technology to develop proficiency in the productions, analysis and archiving of electronic communications common in today’s society.

Students employ a wide range of problem solving strategies. This course introduces measurement, consumer math, quantitative reasoning, statistics, different numeration systems, and optional topics according to student needs.

This course introduces students to environmental science, and examines the human/environmental relationship, fundamental ecological principles, energy resources, human impact on ecosystems, and industry’s impact on ecosystems, natural disasters, and cutting-edge environmental issues.

Explore and analyze contemporary topics using analytic methods and metacognitive strategies. Emphasis is on the application of these strategies within the dynamic communities of college, career and life. Students complete a career based ethical controversy research paper which contributes to the student learning portfolio.

This course provides an introduction to the principles of psychological theory and research. This course surveys the sub categories of study including: cognitive, developmental, abnormal, social and biopsychology as it related to the scientific study and understanding of human thoughts, emotions and behaviors.

Students are introduced to sociological principles through exploring the relationship between the individual, attitudes, behavior and the community. This includes the contemplation of issues like race, gender, class, sex, and age, as well as organizational infrastructures and their tendencies towards power, authority, and status.

Medical Terminology is the foundation that starts the learning process in this program for non-clinical students entering the coding and billing field. Students will read, write, and pronounce the components of the language of medicine that are imperative to medical coding, and communication with medical professionals. They will analyze the prefix, root, and suffix of medical terms, enabling them to analyze the basic meaning. The pronunciation rules will be introduced, as well as singular and plural words. Students will be able to identify the most common medical terms associated with all the body systems identified in the American Medical Association’s Current Procedural Terminology (CPT).

Anatomy and Physiology is foundational to the Medical Reimbursement and Coding program. It focuses on the structure and function of the human body to prepare coders to abstract clinical information from medical records. Students will explore the structure and function of body systems and emphasize the proper use of anatomical terms. The course addresses the importance of understanding human anatomy and physiology in a medical coding environment.

Introduction To Coding Introduces Students To The Concept And Theory Of Diagnostic And Procedural Coding In Physician And Hospital Environments. It Presents All Three Major Code Sets: Icd-9, Cpt, And Hcpcs. In This Course, Students Will Explore The Purpose And Application Of Each Code Set On A High Level, Focusing On Protocols, Hierarchies, And Other High-level Concepts To Help Navigate Through The Code Sets. For Institutions That Offer Both Physician And Hospital, Students Will Consider How They Might Use These Code Sets In Their Future Careers, And Choose Either A Physician Or Hospital Coding Direction For Their Continued Studies In This Program.

Diagnostic Coding explores diagnostic coding for physician services, according to the World Health Organization and the American Health Association’s guidelines and conventions. Students will learn the protocol specific to diagnostically coding illness, injury, and medical services for patients receiving healthcare services in hospitals and physician practices. The students delve into the standard of medical necessity in detail. Idiosyncratic protocols are introduced to raise the student’s awareness of specific “correct coding” standards. MRC/MRCP/MRCH must be taken in numeric sequence.

This Course, Like The Others In The Program, Contains Important Information That Will Help Students Pass Certifying Examinations, And Prepare Them For The Professionalism Required Of Participants In The Coding And Reimbursement Field. In This Course, Students Will Be Introduced To Compliance Programs, Including The Components Of These Programs. They Will Explore The Legal Considerations Involved In Compliance. The Students Will Review Applicable Industry And Oversight Agency Standards, As Well As Enforcement Activities. They Will Explore Medicare Program And Patient Protection Activities Specific To Medical Fraud And Abuse, With Specific Attention To The Health Insurance Portability And Accountability Act Of 1996 (hipaa). Mrc/mrcp/mrch Must Be Taken In Numeric Sequence.

Diagnostic Coding For Physician Services Builds On Diagnostic Coding: Icd-9-cm By Presenting More Complex Sequencing And Protocol For Diagnostic Coding Specific To Physician Services. Students Will Demonstrate Medical Necessity By Code Assignment, And Will Be Able To Translate Physician Documentation To Code. Students Will Gain Invaluable Experience By Hands-on Coding Of Physician Services Performed In Both Inpatient And Outpatient Settings. Mrc/mrcp/mrch Must Be Taken In Numeric Sequence.

Healthcare Common Procedure Coding System Level I And Ii Further Explores The Components Of The Current Procedural Terminology (cpt) And Healthcare Common Procedure Coding System (hcpcs) Coding Manuals That Students Were Introduced To In Introduction To Coding. The Level I Code Set Is Comprised Of The Cpt Which Covers Coding Of Procedures. The Level Ii Code Set Covers Products, Supplies, And Services. Students Will Also Practice Reporting Anesthesia Services, Surgical Procedures, Diagnostic Testing, And Modifiers By Code Assignment. Students Will Become Familiar With The Format Of The Book Sections, Specific Language, And Interpretation Of Chapter And Category Guidelines. The National Correct Coding Initiative (ncci) Bundling And Unbundling Rules Will Also Be Explored. Mrc/mrcp/mrch Must Be Taken In Numeric Sequence.

Evaluation And Management Services Takes Students Through The Process Of Analyzing The Components Of Evaluation And Management Services To Enable Them To Correctly Assign And Measure A Patient’s Category Of Service And Assign Appropriate Codes And Modifiers Based On That Category. Students Will Access The Cms Guidelines For E/m Services And Distinguish Between The 1995 And 1997 Guidelines In Order To Assign Appropriate E/m Codes To Documentation. Mrc/mrcp/mrch Must Be Taken In Numeric Sequence.

This course puts students into to real-world situations in a physician's practice. Students perform coding using real data and documentation to complete job-related tasks respective to their concentration of study. This is an opportunity for students to practice professional standards of accuracy, productivity, and reporting in this realistic virtual environment. Students will provide researched and documented support of their findings for a medical record audit, and will create a reporting tool to communicate with physicians. Prerequisite: Final Semester

The Coding Practicum is the realization of the efforts in the previous courses. Students are provided real-life documentation scenarios that are coded from all three code sets, according to the coding concentration respective to their specialty, Physician or Hospital. The student will be challenged with complex coding and documentation issues, compliance issues, and the reimbursement methodologies specific to each. Prerequisite: Final semester

This course introduces the foundations of the language of medicine and develops medical vocabulary through the study of the structures, functions, diagnostic procedures, pathology, and treatment procedures of the body systems.

This course provides an introduction to operating systems and browsers as well as word processing, presentation, spreadsheets, and e-mail applications used in office productivity software. 4.0 credit hours. Prerequisite: none.

Basic Diagnosis Coding is an introduction to the ICD-9-CM data set used for reporting diagnoses. This course will also include instruction on how to classify and index diagnosis in the healthcare setting. The various uses for diagnosis codes will be discussed as well.

Basic Procedure Coding helps students describe all types of healthcare services, treatments, and procedures provided to patients in both inpatient and outpatient facilities, as well as ancillary departments such as imaging centers and pathology laboratories.

Intermediate Diagnosis Coding Is A Continuation Of Basic Diagnosis Coding With Advanced Instruction On Icd-9-cm Chapter-specific Guidelines (specialty Coding). Abstracting Skills Will Continue To Be Reinforced. An Overview Of Icd-10-cm Will Be Included To Provide An Introduction To This New Code Set.

Intermediate Procedure Coding Continues To Teach Students How To Identify All Types Of Healthcare Services, Treatments, And Procedures Provided To Patients In Both Inpatient And Outpatient Facilities As Well As Ancillary Departments, Such As Imaging Centers And Pathology Laboratories. In Addition, How To Properly Apply Hcpcs Level Ii Codes And Icd-9-cm Volume 3 Procedure Codes Will Be Covered. An Introduction To Icd-10-pcs Will Be Provided.

This course provides the medical assisting student an introduction to medical law and legal and ethical responsibilities of the physician and the allied healthcare professional. Medical ethics and bioethical topics are discussed. Professional credentialing opportunities are addressed as well as practice examinations focused on the graduate sitting for the national Certification Examination offered by the American Association of Medical Assistants. 2.0 credit hours. Prerequisite: All didactic course work with a GPA of 2.0

During The Internship Phase Of Training, The Student Will Experience Various Aspects Of Working In The Coding Field. The Internship Will Provide The Student With The Opportunity To Experience And Participate In The Duties Of A Medical Coder In A Working Environment. Areas Such As Abstracting From Medical Records, Cpt-4, And Icd-9-cm Coding Schemes Will Also Be Used. Other Aspects Of Medical Coding And Billing Will Be Experienced. Experienced Coding Personnel Provide The Instruction. 4.0 Credit Hours. Prerequisites: All Didactic Course Work With A Gpa Of 2.0 And Pd 212 Mbic Internship Preparation.

This course includes the development of keyboarding skills through touch, mastery of the keyboard, speed building, and preparation of office documents. 1.0 credit hour. Prerequisite: none

This course introduces the student to the administrative portion of the healthcare environment as well as important legal and ethical guidelines. Students will become familiar with health information systems including interpersonal communication, customer service techniques, and appointment scheduling. 3.0 credit hours. Prerequisite: none

This course provides an overview of administrative tasks performed in a medical office. Students will learn about office financial management, accounting concepts, the types of medical recordkeeping, accepting and entering payments, and human resource management. 3.0 credit hours. Prerequisite: none

This course provides instruction in the study of human diseases with focus on the symptoms, signs, causes, and diagnosis of disease. Additionally, students will learn about pharmacology, drug categories, and pharmacological treatment related to human diseases.

This is the lab portion of MO 150 Pathophysiology and Pharmacology.

This Course Is Designed To Provide Students With An Understanding Of The Basic Types Of Medical Insurance Programs Available In Today’s Healthcare System. It Also Acquaints Students With Billing Formats Using The Universal Claim Form And Provides The Skills Necessary To Master The Basic Aspects Of Medical Insurance Billing. Current Reimbursement Methodologies (i.e., Rbrvs, Apcs) And Compliance Will Also Be Covered. 3.0 Credit Hours. Prerequisite: None

The Medical Office Administration Program is designed to prepare students with the necessary skills and academic knowledge for entrylevel office positions in the health care industry. Career opportunities may be in areas such as the medical office or clinic, hospitals, longterm care facilities, and other health care office settings. The program also includes a comprehensive general education curriculum, preparing students for future career advancement opportunities.

The Medical Office Administration Program is designed to prepare students with the necessary skills and academic knowledge for entrylevel office positions in the health care industry. Career opportunities may be in areas such as the medical office or clinic, hospitals, longterm care facilities, and other health care office settings. The program also includes a comprehensive general education curriculum, preparing students for future career advancement opportunities.

The Medical Office Administration Program is designed to prepare students with the necessary skills and academic knowledge for entrylevel office positions in the health care industry. Career opportunities may be in areas such as the medical office or clinic, hospitals, longterm care facilities, and other health care office settings. The program also includes a comprehensive general education curriculum, preparing students for future career advancement opportunities.

This is the lab portion of SC 245. 1.0 credit hour. Prerequisites: SC 145/SC 145L Anatomy and Physiology I/Lab. Corequisite: SC 245 Anatomy and Physiology II.

This course deals with concepts of personal financial planning and financial control. Topics center on critical self examination of student planning techniques through analysis and research of personal financial legal documents, checking accounts and banking services, income tax procedures, savings methods, investment planning, risk management and insurance, and credit records, credit law, and the cost of credit. 1.0 credit hour. Prerequisite: none

This course provides a critical examination of issues embedded in the practice of providing customer service. Topics include research about best practice in customer service and communication techniques, psychologically based methods for dealing with the management of customer complaints, and the roles of a customer service employee and supervisor within ethical boundaries and common business practice. 1.0 credit hour. Prerequisite: none

This seminar provides an opportunity for students to critically examine their skills and develop a plan to further their career. Students will be encouraged to develop a plan for maintaining life-long learning skills. Topics include research, job searching, developing career documents, creating personal budgets, and refining interview and communication skills. 1.0 credit hour. Prerequisite: none

Prerequisite: None In this course, students focus on developing writing skills through practice and revision of a variety of different types of essays. Students are also given instruction in library and online research and methods of documentation.

"In this course, students focus on research and developing writing skills through writing the ""argument"" essay. Students are also given instruction in library and online research and methods of documentation."

This course is a practical overview of desktop applications including word processing, spreadsheet, and presentation applications.

"This course addresses topics in contemporary mathematics such as inequalities, radicals, quadratic equations, rational functions, exponential, logarithmic, and graphing polynomial functions."

This course provides students with a general introduction to business activity and how it relates to our economic society. Students will explore how businesses are owned, organized, managed, and controlled.

Prerequisite: None This course provides undergraduate students with a comprehensive introduction to the business sector’s relationship to the principal forces operating in the ethical and legal environments. Particular attention is given to the constraints and opportunities presented by the regulatory environments in North America and the European Union. The course also provides an in-depth, comparative framework for understanding the ethical and intercultural challenges facing contemporary multinational and international organizations. With respect to the legal framework within which most business organizations operate, course topics include corporate problems of raising and maintaining capital by shares; relationships of directors to shareholders; respective rights and obligations;relationships of companies to third parties; control and the principle of majority rule.

"This course introduces students to financial accounting. Students can learn the fundamentals of the accounting cycle."

"This course focuses on Economic theory of the firm, resource allocation and price determination, the free market supply/demand mechanism, and pure and imperfect competition models are analyzed."

"Presents basic economic concepts emphasizing the part the United States plays in a global economy. Foundations of economic theory are presented, using topics from television news and mass media. Topics introduced are GDP, National Income Accounting, United States fiscal policy and economic growth."

"Students will study and apply the fundamentals of marketing within an organization and the contemporary market environment. The course will focus on marketing strategy and development of a marketing mix."

Students will study and apply the fundamentals of marketing within an organization and the contemporary market environment. The course will focus on marketing strategy and development of a marketing mix.

This course requires students completing their AABA degree to demonstrate knowledge learned throughout the program and apply the theories to real world issues. Students are expected to synthesize and integrate learning experiences acquired throughout their program and to evaluate research and current topics relative to their area of concentration.

This course provides the student with an introduction to the generic components of health record content within various health care settings. Special attention is given to the structure and use of health care data, including how these relate to primary and secondary medical record systems.

This course provides an introduction into the processes used in the health care industry for disease classifications and reimbursement. Students are introduced to disease, diagnostic procedures, and the processes used in classification, identification and categorization. Topics may include introduction to classification systems, coding, ICD coding, and inpatient reimbursement methods including Fee for Service, diagnostic related groupings, All Inclusive Rates, Risk Assignment and outpatient reimbursement. We will also examine the future of IT in the health sciences by looking at internet information, ethical and security issues.

This course provides intermediate CPT/HCPCS coding conventions and practices. Students are introduced to the skills, concepts and knowledge needed to provide and maintain reimbursement for organizations.

Continued Discussion Of The Processes Used In Medical Insurance For Coding And Billing. Students Are Introduced To Current Procedural Terminology (cpt) Processes And Using Cpt Errata. Topics Include Coding Systems And Traditional Reimbursement Methods.

This course is designed to provide a discussion of strategies for completing the allied health programs as an independent learner. In addition, it gives an introduction to health care and the role that medical office assistants, medical coders, and medical transcriptionists play in that industry.

This course covers the typical duties of the administrative assistant in any business office: task management, general business machines, telephone call management, business letter writing, electronic and print mail processing, travel and meeting planning, policy and procedures manuals, facility care and maintenance, as well as office math.

The Law and Ethics section of this course covers how law affects medical offices; the origin of law that affects medical professionals; the process of litigation and its alternatives; contract law and the ways it affects health professionals; the duties created between health care professionals and patients once a doctor-patient relationship is established; criminal law and torts that are relevant to the health profession. The Confidentiality in Allied Health section examines the common-law basis for the confidentiality of health care information and the laws regulating health care information collected and maintained by government agencies. also covered is the Health Insurance Portability and Accountability Act (HIPAA), as well as how the management of medical information affects the management and measurement of quality in health care.

Computer and Internet basics; computer hardware and software; digital electronics and file management; introduction to Windows®; PC applications in word processing, spreadsheets.

Introduction to medical terminology; chemistry/ laboratory; pharmacology; cells, tissues, and membranes; integumentary system; musculoskeletal system; blood and cardiovascular system; respiratory system; digestive system.

Sense organs; nervous system; endocrine system; urinary/excretory system; male and female reproductive systems; lymphatic system; oncology and radiation; surgery and pathology; genetics.

An introduction to basic pharmacology, as well as the type of drugs by body systems. Includes the drug's generic and trade names, use, side effects and drug interactions.

The Basics Of Coding, Exploration Of The Icd-9-cm And Cpt Manuals, Examination Of Specialty Areas Such As Cardiology And Obstetrics/gynecology, Radiology, Pathology, And Laboratory Work.

The Medical Coding 2 Course Utilizes The Application Of The Cpt And Icd-9-cm Classification Systems To Code Diagnoses And Procedures.

The Electronic Medical Records Management Certificate Program Provides A Basic Overview On How To Successfully Manage Electronic Medical Records (emrs) In Different Health Care Settings. Attendees Will Learn Emr Concepts, Terminology, Regulations, And Procedures, And Receive Hands-on Training With An Electronic Medical Record.

This course provides instruction on the basic types of writing you’ll encounter in a business environment. You’ll learn about business letters, forms, client records, and memos; organization, grammar, punctuation, and sentence and paragraph construction; coherent paragraphs, well-organized documents, and purpose-focused materials; and accurate, attractive, and effective final copies.

Medical word building; the roles of prefixes, combining forms and suffixes; body directions, planes and cavities; the major body systems; terms used to describe cells, tissues and glands; medical specialties.

Major structures and functions of the integumentary system; terms used to describe the diagnosis, pathology and treatment of skin disorders.

The major structures and functions of the skeletal and muscular systems; types of joints and muscles; terms related to the diagnosis, pathology and treatment of the skeletal and muscular systems

Major structures and functions of the digestive system; terminology related to the diagnosis, pathology and treatment of digestive illnesses.

Major structures and functions of the cardiovascular, lymphatic and immune systems; types and functions of blood vessels; terms related to the diagnosis, pathology and treatment of the cardiovascular, lymphatic and immune systems.

Major structures and functions of the respiratory and nervous systems; major parts of the brain by location and function; diagnosis, pathology and treatment terms relating to the respiratory and nervous systems.

Major structures and functions of the urinary and endocrine systems; terms used to describe the diagnosis, pathology and treatment of urinary and endocrine gland disorders; the hypothalamus and endocrine glands; functions of the hormones secreted by the glands.

Major structures and functions of the eyes and ears; terms describing the diagnosis, pathology and treatment of eye and ear disorders.

Major functions and structures of the male and female reproductive systems; terms relating to the diagnosis, pathology and treatment of male and female reproductive disorders.

Cancer classifications; diagnosing cancer; cancer treatment and prevention; dangers and safety precautions associated with x-rays; diagnostic and therapeutic benefits of radiology and nuclear medicine.

Types of insurance plans; disability and liability insurance; major developments in health insurance; the six managed care models; HMO accreditation; government- managed care ventures; the effect of managed care on administrative procedures.

New Patient Interview And Check-in Procedures; Established Patient Return Visits; Post-clinical Check-out; Computerized Practice Procedure Methods; Introduction To Icd-9-cm And Cpt Coding; Insurance Company Claims Processing; The Legal And Regulatory Considerations Of An Insurance Claim.

Billing guidelines for inpatient medical, in/outpatient global surgery, minor surgery, and maintenance of a provider's claim files; setting up a filing system for completed claims; determining primary and secondary status; completing common types of claims.

History And Function Of Bcbs Plans; Features Of Bcbs Basic Benefits; Typical Services In Major Medical Coverage Including Identifying Patients And The Correct Procedure For Completed A Bcbs Claim Form.

Parts of the Medicare program; eligibility criteria; fee schedule; supplemental plans and managed care; filling out an HCFA 1500 claim form.

Who is eligible for Medicaid; services covered under the federal portion of Medicaid; services provided and paid for by state coverage; steps to obtain preauthorization services.

Health Care For The Military; Deductibles, Cost Sharing And Eligibility Requirements For Tricare; Filing Tricare Claim Forms; Workers' Compensation Programs; Classifying On-the-job Injuries; Preparing A First Report Of Injury Form; Qualifying For Workers' Compensation Benefits.

Using The Icd-9-cm Coding System; Primary Vs. Principal Diagnosis; Icd-9-cm Terms, Marks, Abbreviations And Symbols; Index Tables.

Basic Format Of Cpt Service And Procedure Codes On The Cms-1500 Claim; Comparing Cpt With Icd-9-cm Coding; Modifiers; New Vs. Established Patient; Assigning Emergency Department And Critical Care Codes; Consultation Vs. Confirmatory Visit; Preventive Medicine Visits; The Global Surgical Period.

The Hcpcs System For Reporting Professional Services, Procedures, Supplies And Equipment; Hcpcs Level Ii Coding System; Cms Reimbursement; Rules Of The Medicare Physician Fee Schedule Payment System.

How to code from patient medical records; the importance of correct physician documentation; steps in coding an operative report; selecting and coding diagnoses and procedures from case studies and sample records.