Medical Billing & Coding

medical

Course Description 

This 80 hour course offers the skills needed to solve insurance billing problems, how to manually file claims (using the CPT and ICD-10 manual), complete common insurance forms, trace delinquent claims (EOB’s) and use generic forms (CMS 1500) to streamline billing procedures. The course covers the following areas: CPT (introduction, guidelines, evaluation and management), specialty fields (such as surgery, radiology and laboratory), ICD-10 (introduction and guidelines) and basic claims process for medical insurance and third party reimbursement.  Students will learn how to find the service codes using coding manuals, (CPT & ICD-10).
 
After obtaining the suggested practical work experience, students who complete this course could be qualified to sit for the American Academy of Professional Coders (AAPC) - Certified Professional Coder Exam (CPC or CPC-H - Apprentice); the American Health Information Management Association (AHIMA) Certified Coding Associate (CCA) exam; and/or other National Certification Exams.
 
Medical Billing and Coding Detailed Course Information
  • Start a career as an insurance coding specialist
  • Learn documentation guidelines and legal issues affecting insurance claims and medical records
  • Basics of health insurance and procedural coding
  • Introduction to CPT Manual
  • Evaluation and management services
  • Anesthesia/Surgery, Radiology and Pathology/Laboratory Medicine
  • Diagnosis Coding
  • CPT Modifiers, E and V Codes and Late Effects
  • Introduction to International Classification of Diseases, Clinical Modifications, Coding Guidelines
  • The Health Insurance Claim Form (CMS 1500)
  • HIPAA and Electronic Data Interchange (EDI)
  • Tracing Delinquent Claims and Insurance Problem Solving
  • Managed Care Systems and Special Plans & Third Party Reimbursement, Medicare, Blue Cross-and Blue Shield Plans, Medicaid and Other State Programs, CHAMPUS and CHAMPVA, Worker’s Compensation, Disability Income Insurance and Disability Benefit Programs
  • This entry level course does not require the use of a computer as the focus of a coding professional is the proper use of coding and the related coding manuals.
 

Register For:

Brownsville

Course Duration
80 hours

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Employment & Education

Medical Billing and Coding is one of the fastest growing careers in the health care industry today. The need for professionals that understand how to code health care services and procedures for third party insurance reimbursement is growing substantially. Physician practices, hospitals, pharmacies, long-term care facilities, chiropractic practices, physical therapy practices and other health care providers all depend on medical billing and coding for insurance carrier reimbursement.
 
Persons interested in becoming Medical Coders or pursuing national certification should have a high school diploma or GED equivalent. Also, Certain National Medical Coding Certification exams are very complex and may require 6 months to 2 years of suggested practical coding experience prior to taking the exam or being recognized as a certified medical coding professional.
 

Prerequisite:
Students must have a high school diploma, GED, or to be on track to receive either of those. Participants must also possess a minimum 10-grade level math and reading skills as well.

Note: Persons must be at least 18 years old to sit for the national certification exam after completing this course.

$1,899/person

To review private loan options for continuing education programs, click below:

Private Loans

Note: If you are applying for the Continuing Education Private Loan to cover the registration fee for a non-credit continuing education program, then please use UTRGV Continuing Education School Code: 00359902. The loan amount you note in the application cannot exceed the open enrollment fee noted on our website. Minimum for the loans must be $500.00. Some service charges may apply.

To Be Announced

The Medical Billing/Coding – 3 potential certifications exam information is for reference purposes only and it’s not included in the course fee. The instructor will advise which certification is the best one for the student to pursue.

Certified Professional Coder (CPC;CPC-H)
www.aapc.com
American Academy of Professional Coders (AAPC)
$300.00
1) 150 question
2) 5 hours and 40 minutes to complete

Certified Coding Associate (CCA)
American Health Information Management Association (AHIMA)
www.ahima.org
$199.00 – Member
$299.00 – Non-Member
1) 100 questions (90 scored items and 10 pretest items)
2) hours to complete

Billing and Coding Specialist (CBCS)
www.nhanow.com
National Healthcareer Association (NHA)
$105.00 (PSI Computer Based)
$112.35 (Classroom
1) 100 questions
2) 1 hour and 45 minutes to complete

  • Topics Covered

    1) Intro to International Classification of Diseases, Clinical Modifications & Coding Guidelines
    2) Introduction to the organization and use of the ICD-9-CM and CPT manuals
    3) Basics of diagnostic and procedural coding
    4) The Health Insurance Claim Form (CMS 1500)
    5) HIPAA and Electronic Data Interchange (EDI)
    6) Review and practice coding Evaluation and Management (E&M) services
    7) Review and practice coding from anesthesia, surgery, radiology, medicine, and the pathology/laboratory sections of the CPT
    8) CPT Modifiers, E and V Codes, and Late Effects
    9) Coding surgical procedure and medical procedures for the cardiovascular, integumentary, male/female reproductive systems, maternity care and delivery
    10) Coding for general surgery, radiology, pathology, diagnostic, therapeutic and laboratory services and the Level II National Codes
    11) Tracing delinquent claims & insurance issues
    12) Third-party reimbursement issues
    13) Development of and Improvements to the ICD-10-Coding Manual
    14) Examination of the ICD-10-PCS system