[Please Note: For additional Healthcare Career training opportunities, ← click here.]
New online class forming: 90 contact hours
August 11, 2014 – December 12, 2014
For more information, and to register, contact Melissa Shockey: 304-434-8000, ext. 253.
This course familiarizes learners with basic medical diagnostic & coding concepts and practices, and discusses related career and certification options. Topics covered include basic medical terminology, and basic coding concepts and the associated clinical diagnoses.
ICD-9-CM, CPT, & HCPCS coding areas are introduced early in the course, and expanded on throughout the semester. Students will learn how to link CPT codes to ICD-9 codes; and they will understand the meaning and importance of “medical necessity” based on supporting documentation.
The course also explains the proper use of the CMS-1500 claim form, as students learn how to complete it accurately to ensure proper reimbursements. Successful completion of the course makes students eligible to sit for the National Healthcareer Association (NHA) Examination, which provides national professional certification.
Please Note: Medical Billing & Coding training is also available at Eastern in a
traditional classroom setting.
Understand HIPAA guidelines for confidentiality, privacy, and security of a patient’s information within the medical record.
Differentiate between insurance fraud and insurance abuse.
Explain the use of all volumes of the ICD-9-CM code book.
Locate ICD-9-CM codes for symptoms, disorders, diagnoses, and reasons for various medical encounters.
Use CPT code book efficiently to code procedures billed by the physician performed in the medical office and other outpatient settings.
Understand the linkage of the CPT code(s) and the ICD-9-CM code(s) and the medical necessity for reimbursement of charges billed.
Define various insurance carriers such as Medicare, Medicaid, Workers Compensation, TRICARE/CHAMPVA, and the diagnostic requirements for each.
Define various terms as they relate to the insurance process.
Abstract information from the medical record to complete the CMS-1500 for Medicare, Medicaid, commercial carriers.
Use all volumes of ICD-9-CM to assign codes based on guidelines presented in the basic course, as they pertain to both outpatient & inpatient coding.
Assign CPT codes for procedures and services invoiced for all medical specialties, based on coding guidelines presented in the basic course.
Link the ICD-9 code to the CPT code to demonstrate the medical necessity for reimbursement.
Recognize supplies and services requiring HCPCS codes and assign codes from the HCPCS book.
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For more information, or to register, contact Melissa Shockey, in the Workforce Education Department: 304-434-8000, ext. 253; or toll-free: 877-982-2322.