Course Syllabus

BILLING MODULE

    Chapter 1. Health Care History & Overview
    Chapter 2. Terminology
    Chapter 3. Provider Structure & Protocols
    Chapter 4. Hospital Billing
    Chapter 5. Family Relationships
    Chapter 6. Billing the Encounter
    Chapter 7. Practice Economics
    Chapter 8. Collections
    Chapter 9. Coding
    Chapter 10. Profiles
    Chapter 11. Medicaid and Medicare
    Chapter 12. Legal Issues
    Chapter 13. Certification
    Chapter 14. Just for Fun

MEDICAL BILLING SOFTWARE
Free medical billing software (demo and trial versions) are available from various sources, that will help you train in the most common office billing programs. Please refer to the Resources & Tools section of the website for a list of vendor websites offering free software trials and demos.

HEALTH INSURANCE SPECIALIST MODULE

    Every type of insurance is included in each chapter, together with co-payments, rules, regulations, samples, and each is interactive requiring full understanding before moving on.
    Chapter 1 – Health Insurance Specialist Jobs
    Chapter 2 – Medical Care Reimbursement
    Chapter 3 – Health Care Organization Plans
    Chapter 4 – Insurance Claims
    Chapter 5 – Payer Processing
    Chapter 6 – Laws, Rules, and Regulations
    Chapter 7 – Private Insurers
    Chapter 8 – Medicare
    Chapter 9 – Medicaid
    Chapter 10 – Tricare
    Chapter 11 – Workers’ Compensation

Included are all of the insurance forms used in the industry with complete exercises to fully understand how to fill them out.

MODULE I – Medical Terminology Course

SECTION I – LANGUAGE ORIGINS AND ADAPTATIONS

    Chapter 1 – Etymology
    Chapter 2 – Grammar, Spelling & Punctuation
    Chapter 3 – Medical Words

SECTION II – DYNAMICS OF MEDICAL VOCABULARY AND WORD STRUCTURE

    Chapter 1 – Word Dynamics
    Chapter 2 – Body Dynamics
    Chapter 3 – Medical Instruments & Equipment
    Chapter 4 – Medical Specialties & Specialists
    Chapter 5 – Diagnostic Medicine
    Chapter 6 – Abbreviations
    Chapter 7 – Anatomy and Physiology
    Chapter 11 – Just for Fun

GLOSSARY AND REFERENCES (INCLUDED NO EXTRA CHARGE)

Anatomical Words, Drug References & Instruments (on-line access)

DRUG LISTING – generic alpha, name brand cross-reference, plus 200 of the most commonly prescribed drugs.

MODULE II

    INTRODUCTION AND ORIENTATION
    A. Report Types
    B. OUTPATIENT REPORTS
    C. INPATIENT REPORTS

PHARMACOLOGICAL COMPENDIUM
Pharmacology is the study of drugs and their interactions with living organisms. It is one of the oldest branches of medicine.

MODULE III – CODING

SECTION I – CODING THEORY

    I. INDUSTRY HISTORY & THE CODES
    II. THE CODER  

    III. ICD CODING
    IV. CPT CODING
    V. LIABILITY & LEGAL ISSUES
    VI. SUMMARY

SECTION II – CODE IT!

The second section consists of over 600 medical charts requiring coding. The answers to the questions, insertion of the procedure and diagnosis codes must be done. This begins with general outpatient and inpatient coding exercises, then moves to specialty coding and chart abstraction to build coding expertise. They are rated from simple to very complicated. The answers and the rationale for the correct codes is provided at the end of each coding exercise. These exercises are the equivalent of several months’ of experience.

MODULE IV – HEALTH INSURANCE SPECIALIST

    A. Medical Care Reimbursement
    B. Health Organization Plans
    C. Insurance Claim Form Analysis
    D. Payer Processing
    E. Laws, Rules and Regulations
    F. Private Insurance
    G. Medicare, Medicaid, and Tricare
    H. Worker’s Compensation

FINAL EXAMINATION, CERTIFICATE and EMPLOYER REFERENCES