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CCA Medical Billing and Coding (Voucher Included)

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Career Series

                                CODE
                                    GES184
                            
VOUCHER INCLUDED

                                12 Months
                            
                                340 Course Hrs

OVERVIEW

DETAILS

OUTLINE

Medical Terminology
1. Introduction to Medical Terminology
2. The Musculoskeletal System
3. The Cardiovascular System
4. The Lymphatic and Immune Systems
5. The Respiratory System
6. The Digestive System
7. The Urinary System
8. The Nervous System
9. The Special Senses The Eyes and Ears
10. The Integumentary System
11. The Endocrine System
12. The Reproductive System
13. Diagnostic Procedures, Nuclear Medicine, Pharmacology
Medical Billing and Coding
1. Introduction to Medical Billing and Coding
  1. Personal Qualifications
  2. Career Opportunities
  3. Certifications
2. Healthcare Law
  1. HIPAA Privacy Rule and Security Rule
  2. Protected Health Information
  3. Fraud and Abuse
  4. Stark Law
  5. False Claims Act
3. Introduction to Health Insurance Terms
  1. Health Insurance Terms
  2. Managed Care
  3. Healthcare Provider Terms
  4. Third-Party Reimbursement Methods
4. Pharmacology for Coders
  1. Definition of Pharmacology
  2. Generic and Brand Names
  3. Drug Classifications
  4. Therapeutic Uses of Medications
  5. Routes of Administration
  6. Formularies
  7. Medication Lists
5. ICD-10-CM
  1. Overview of ICD-10-CM
  2. Format of ICD-10-CM
  3. ICD-10-CM Coding Guidelines
  4. ICD-10-CM Coding Conventions
  5. Steps for Assigning ICD-10-CM Codes
6. CPT and HCPCS Level II Coding
  1. Healthcare Common Procedure Coding System
  2. Organization of the CPT Code Book
  3. CPT Coding Conventions
  4. Organization of the HCPCS Level II Code Book
  5. Steps for Assigning CPT and HCPCS Level II Codes
7. Abstracting Information from Medical Documents
  1. Coding from SOAP Notes
  2. Coding from a Consultation Report
  3. Coding from Operative Reports
  4. Coding from Emergency Room Records
  5. Coding from Procedure Reports
8. New Patients, Insurance Claims and EOBs
  1. Electronic, Paper and Hybrid Medical Records
  2. Practice Management Software
  3. Patient Portal
  4. Developing an Insurance Claim
  5. New Patient Procedures
  6. Medical Necessity
  7. Explanation of Benefits (EOB)
  8. Collection Practices
9. Submitting Electronic Claims and CMS 1500
  1. Electronic Data Interchange (EDI)
  2. Electronic Claims Submission
  3. 1500 Claim Form
  4. National Uniform Claim Committee
10. Blue Cross/Blue Shield
  1. Participating and Nonparticipating Providers
  2. Allowable Fee
  3. Usual, Customary and Reasonable (UCR)
  4. Blue Shield Claims Submission
11. Medicare
  1. Medicare Parts A, B, C and D
  2. Participating and Nonparticipating Providers
  3. Advance Beneficiary Notice (ABN)
  4. Supplemental Insurance
  5. NCCI
  6. Medicare Claims Submission
12. Other Healthcare Programs
  1. Medicaid
  2. TRICARE
  3. CHAMPVA
  4. Workers' Compensation
  5. Claims Submission
13. ICD-10-PCS (Optional Lesson) Recommended if taking the CCA exam
  1. Overview of ICD-10-PCS
  2. ICD-10-PCS Code Structure
  3. Index and Table Conventions
  4. Code Components
  5. Definitions Used in ICD-10-PCS
14. Survey of Hospital Billing
  1. Hospital Revenue Cycle
  2. Chargemaster
  3. Master Patient Index
  4. Prospective Payment Systems
  5. Principal Diagnosis
  6. Present On Admission

REQUIREMENTS

Requirements:

Hardware Requirements:

This course can be taken on either a PC or Mac.

Software Requirements:

PC: Windows 8 or newer.
Mac: OS X Snow Leopard 10.6 or later.
Browser: The latest version of Google Chrome or Mozilla Firefox are preferred. Microsoft Edge and Safari are also compatible.
Adobe Acrobat Reader.
Software must be installed and fully operational before the course begins.

Other:

Email capabilities and access to a personal email account.

Instructional Material Requirements:

The instructional materials required for this course are included in enrollment. The following textbooks will be shipped to you approximately 7-10 business days after enrollment:

A Guide to Health Insurance Billing
CPT Professional Edition
HCPCS Level II Professional
ICD-10-PCS
ICD-10-CM Expert for Physicians with Guidelines
Professional Review Guide for the CCA Examination
Medical Terminology for Health Professions

CCA Medical Billing and Coding (Voucher Included)

OVERVIEW

DETAILS

OUTLINE

REQUIREMENTS

PREREQUISITES

INSTRUCTOR

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