CBCS Medical Billing and Coding is an ideal program for students new
to a medical career. If you’re seeking entry into the healthcare
industry, this comprehensive program will provide you with all of the
information you need to earn a certification in medical billing and
coding.
You will build a foundation of medical vocabulary, to help you
better understand the contents of a patient’s medical record, as well
as notes from practicing physicians. In addition, you’ll learn current
medical coding standards, so you can be successful within the
industry.
Upon completion of this program, you will be prepared to sit for the
Certified Billing and Coding Specialist (CBCS) exam, offered by
National Healthcareer Association (NHA). The registration fee for this
exam is included with this program.
There has never been a better time to enter the field of Medical Billing and Coding. Healthcare workers are in high demand, as more than 900,000 practicing physicians in the United States rely on medical billers and coders to receive payment for their services. CBCS Medical Billing and Coding is an ideal course for students new to this important position in the healthcare field. If you’re seeking entry into the healthcare industry, this comprehensive course will provide you with all the information you need to earn a certification in medical billing and coding.
Certified professional coders assign numeric codes to each procedure that appears in a patient’s medical record, so that payment can be rendered quickly and correctly. Aside from medical facilities, medical coding jobs are available with health insurance companies, pharmacies, medical suppliers, consulting firms, and medical billing companies.
During this course, you will learn the foundations of a medical vocabulary to help you better understand the contents of a patient’s medical record, as well as notes from practicing physicians. In addition, you’ll learn current medical coding standards, so you can be successful within the industry. You will be prepared to sit for the Certified Billing and Coding Specialist (CBCS) exam offered by the National Healthcareer Association (NHA). This course includes a voucher which covers the fee of the exam.
Medical Billing and Coding
I. Introduction to Medical Billing and Coding
A. Personal Qualifications
B. Career Opportunities
C. Certifications
II. Healthcare Law
A. HIPAA Privacy Rule and Security
Rule
B. Protected Health Information
C. Fraud and Abuse
D. Stark Law
E. False Claims Act
III. Introduction to Health Insurance Terms
A. Health Insurance Terms
B. Managed Care
C. Healthcare Provider Terms
D. Third-Party Reimbursement
Methods
IV. Pharmacology for Coders
A. Definition of Pharmacology
B. Generic and Brand Names
C. Drug Classifications
D. Therapeutic Uses of Medications
E. Routes of Administration
F. Formularies
G. Medication Lists
V. ICD-10-CM
A. Overview of ICD-10-CM
B. Format of ICD-10-CM
C. ICD-10-CM Coding Guidelines
D. ICD-10-CM Coding Conventions
E. Steps for Assigning
ICD-10-CM
Codes
VI. CPT and HCPCS Level II Coding
A. Healthcare Common Procedure
Coding System
B. Organization of the CPT Code
Book
C. CPT Coding Conventions
D. Organization of the HCPCS Level
II Code Book
E. Steps for Assigning CPT and
HCPCS Level II Codes
VII. Abstracting Information from Medical
Documents
A. Coding from SOAP Notes
B. Coding from a Consultation
Report
C. Coding from Operative Reports
D. Coding from Emergency Room
Records
E. Coding from Procedure Reports
VIII. New Patients, Insurance Claims and EOBs
A. Electronic, Paper and Hybrid
Medical Records
B. Practice Management Software
C. Patient Portal
D. Developing an Insurance Claim
E. New Patient Procedures
F. Medical Necessity
G. Explanation of Benefits (EOB)
H. Collection Practices
IX. Submitting Electronic Claims and CMS 1500
A. Electronic Data Interchange
(EDI)
B. Electronic Claims Submission
C. 1500 Claim Form
D. National Uniform Claim Committee
X. Blue Cross/Blue Shield
A. Participating and
Nonparticipating Providers
B. Allowable Fee
C. Usual, Customary and Reasonable
(UCR)
D. Blue Shield Claims Submission
XI. Medicare
A. Medicare Parts A, B, C and D
B. Participating and
Nonparticipating Providers
C. Advance Beneficiary Notice (ABN)
D. Supplemental Insurance
E. NCCI
F. Medicare Claims Submission
XII. Other Healthcare Programs
A. Medicaid
B. TRICARE
C. CHAMPVA
D. Workers’ Compensation
E. Claims Submission
XIII. ICD-10-PCS (Optional Lesson)
A. Overview of ICD-10-PCS
B. ICD-10-PCS Code Structure
C. Index and Table Conventions
D. Code Components
E. Definitions Used in ICD-10-PCS
XIV. Survey of Hospital Billing
A. Hospital Revenue Cycle
B. Chargemaster
C. Master Patient Index
D. Prospective Payment Systems
E. Principal Diagnosis
F. Present On Admission
XV. Career Roadmap
for Medical Billing and Coding – Find a Job Fast
A. Introduction
B. Succeeding in the Gig Economy
C. Your Skills and Talents
D. Your Résumé and Cover Letter
E. Using Email and Social Media
F. Connecting with Others
G. Acing the Interview
H. Negotiating Your Salary
I. After You Land the Job
J. Review and Reflect
Medical Terminology
- Introduction to Medical Terminology
- The Musculoskeletal System
- The Cardiovascular System
- The Lymphatic and Immune Systems
- The Respiratory System
- The Digestive System
- The Urinary System
- The Nervous System
- The Special Senses the Eyes and Ears
- The Integumentary System
- The Endocrine System
- The Reproductive System
- Diagnostic Procedures, Nuclear Medicine, Pharmacology
Requirements:
Hardware Requirements:
- This course can be taken on either a PC or Mac.
Software Requirements:
- PC: Windows XP or later.
- 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.
- Microsoft Word (not included in enrollment).
- Windows Media Player or a similar program.
- Adobe Flash Player. Click here to download the Flash Player.
- Adobe Acrobat Reader. Click here to download the 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-CM Professional for Physicians
- Medical Terminology for Health Professions
Prerequisites:
There are no prerequisites to take this course. However, in order to sit for national certification exams, candidates must have a high school diploma or equivalent. Therefore, it is recommended you have this before enrolling for this course.
Sharon L. Blackford, MA, BA, RMA, has over 30 years of experience in the medical field. She has a Master's degree in Organizational Management, a Bachelor's degree in Business Management, and has served as a Registered Medical Assistant since 1994. Sharon was an active duty Clinical Specialist in the U.S. Army for 10 years. Sharon later moved to the Gulf Coast to accept a position as the Director of Education of Blue Cliff College and was promoted to Campus Director.
LaTisha Cottingham has over 20 years of experience in the healthcare industry. She has six years of teaching experience in the field of medical billing and coding and Medical Assisting. Currently she is employed as an HIM Analyst for a Long-Term Care establishment that is based out of Alabama. Previously she was employed as the lead instructor for the Allied Health Department for a local career institute. LaTisha's field of expertise is in the area of physician-based inpatient coding and Emergency Department coding. The certifications that she holds are as follows: a Registered Health Information Technician (RHIT), a Certified Professional Coder (CPC), and a Certified Clinical Medical Assistant (CCMA). In preparation for ICD-10-CM, LaTisha received her ICD-10-CM/PCS Trainer Certification from American Health Information Association (AHIMA), where she is currently a member. LaTisha is also a member of the American Academy of Professional Coders (AAPC) and the National Healthcare Association (NHA) where she is a test proctor.
Carline Dalgleish has worked in medical office administration for over 30 years. She holds a bachelor's degree in Business Information Systems, a master's degree in Leadership, and a post-baccalaureate certificate in Health Information Management. She is a Registered Health Information Administrator and an AHIMA Approved ICD-10-CM/PCS Trainer. Dalgleish is the author of an ICD-10 coding system and also owns her own consulting firm, AnnGrant Educational Services.
LaTrisha Howard has over 10 years experience in the healthcare industry. LaTrisha has expertise in coding Inpatient, Outpatient, and ER medical records. In addition to Ms. Howard's experience in coding, she has experience in chart auditing and physician education. She is currently working as an ER Coder/Auditor for a physician billing and consulting service, and currently holds the CCS and CPC certification, as well as being a member of AHIMA and AAPC.
Shonda Miles is a Certified Professional Coder, Certified Professional Medical Auditor, and holds an Executive Masters of Business Administration, Master's Degree in Business Administration with a concentration in Human Resources and a Bachelor's degree in Business Administration (Management). Shonda Miles has over 6 years in the healthcare industry. Shonda has expertise in coding and chart auditing Inpatient, Outpatient, and ER medical records. She is a member of AAPC, NAMAS and ACHE. She is currently employed with a university hospital as a Compliance Auditor. She resides in Shreveport, LA.
Bunny Reeves is the senior ambulatory surgery coder at the Maimonides Medical Center in Brooklyn, New York. She trains student coders at Maimonides Medical Center and previously trained and supervised entry-level coders at Staten Island's St. Vincent Medical Center. Reeves is a Certified Coding Specialist, accredited by the American Health Information Management Association (AHIMA).
Nancy Smith has almost 30 years of experience in healthcare education. After graduating from college with a degree in vocational education, she taught administrative medical programs in vocational schools and community colleges. In addition, she has professional experience as a medical coder, insurance claims specialist, medical records auditor, and medical office manager. She is a member of AHIMA and has a CCS-P coding certification. She currently does coding for ambulatory surgery center and resides in Pittsburgh, Pennsylvania.
Lydia S. Stewart, RN, BSN, currently serves as the Revenue Cycle Manager at a large regional medical center. Lydia has been a Registered Nurse for 23 years, 15 of those years specializing in Critical Care Nursing and supervision. She is responsible for Medical Audits, Charge Capture, and governmental compliance audits and reviews. Lydia is a member of the Louisiana Medical Auditor Association and Healthcare Financial Management Association (HFMA).
1. Can I register for programs if I am an
international student?
Yes, because ed2go programs are online you never
have to actually travel to the school. Most schools offer
telephone or online registration.
2. How long does it take to complete a program?
All of our programs are self-paced and open enrollment, so you
can start them when you want and finish them at your own pace. This
program is entirely online and is completed at your own pace. When you
register, you receive twelve (12) months to complete this program.
3. What if I don't have enough time to complete my program within
the time frame provided?
The time allotted to complete your program has been calculated
based on the number of hours for each program, so don't worry too much
about not completing in time. If, after a concerted effort, you are
still unable to complete, your Student Advisor will help you work out a
suitable completion date. Please note that a fee will be charged for an
extension.
4. Do I have to buy additional materials?
All the materials you’ll need are included, and their cost
will be covered by your tuition. ed2go will ship all materials ground
service upon enrollment.
5. Can I get financial assistance?
ed2go courses are non-credit courses, so they do not qualify
for federal aid. In some states, vocational rehab or workforce
development boards will pay for qualified students to take our courses.
Additionally, some students may qualify for financial assistance when
they enroll, if they meet certain requirements.
6. What happens when I complete the program?
Upon successful completion of the program, you will be awarded
a certificate of completion. In addition, NHA Certified Billing &
Coding Specialist (CBCS) exam voucher are provided to you in the format
of a digital registration process to enroll for the exam after
successful completion of the program and financial obligation.
7. Am I guaranteed a job?
ed2go programs will provide you with the skills you need to
obtain an entry-level position in most cases. We don’t provide direct
job placement services, but our facilitators and career counselors will
help you build your resume and are available to give advice on finding
your first job. Facilitators will also be available to use as a
professional reference upon completion of the program. Potential
students should always do research on the job market in their area
before registering.
8. Who will be my instructor?
Each student is paired with a facilitator for one-on-one
interaction. The facilitator will be available (via e-mail) to
answer any questions you may have and to provide feedback on your
performance. All of our facilitators are successful working
professionals in the fields in which they teach.
9. What software or hardware do I need in order to take online
programs and what are the system requirements?
In order to take our online programs, you must have access to a
computer and the Internet. You can access the program contents from any
Web-enabled computer. You don’t have to use the same computer to log-in
to the program every time. We recommend that you have a word-processing
program (Microsoft Word is best) and the latest version of Internet
Explorer.
10. Can I use a Mac?
Yes, you can use a Mac for this program.
11. How can I get more information about this program?
If you have questions that are not answered on our website,
please feel free to contact us via LIVE chat (click the button
above). If you are visiting us during non-business hours, please
feel free to send us a question using the “Contact Us” form to the
right. You may also call us at 1-855-520-6806
1-855-520-6806 FREE. We will
answer your questions promptly.
12. When can I start the program?
Our programs are all open enrollment. You can register and
start the program as soon as you are ready.
Please note: Once the program curriculum is accessed online or through
submission of a material shipment confirmation, refunds cannot be
issued.
13. Does this program prepare for a
certification?
Yes, you will be prepared to sit for the Certified Billing &
Coding Specialist (CBCS) exam offered by National Healthcareer
Association (NHA) and receive an exam voucher after successful
completion of the program and financial obligation.
I was able to go at my own pace and when help was needed, it was there.
- S.S., Dabney S. Lancaster Community College
I enjoyed the ability to work at my own pace. The instructions, material, and tests were all very easy to understand and use. I loved taking both of these courses and would recommend Gatlin and the online program to others.
- K.P., University of Evansville
Everyone was very helpful and the course was very self explanatory and easy to navigate.
- R.N., North Carolina State University
I enjoyed the flexibility to address the course when able to concentrate and spend time needed to complete certain sections. I appreciate the opportunities to self-test with the online exercises - crosswords, championship jeopardy-style drills and prelim quizzes.
- M.C., Kennesaw State University
I liked how I could manage my time to study, without the pressure of finishing one module at a specific time. The facilitator was helpful, even when the course was difficult for me and I sent her a lot of questions, she still managed to reply with explanations, breaking things down step-by-step. The chat with the student support was a big help!! They're always polite and professional!!!
- C.P., Kennesaw State University
I was able to work around my schedule, at my convenience. I didn't have to go anywhere for class - if I wanted to study in my jammies, I did! The rare occasion that I needed assistance with anything, it was readily available. It was a great experience that I would recommend for any Non-traditional student as myself and I would happily take further classes from ed2go.
- J.W., Bowling Green State University
Everything was BEYOND what I had expected! THANK YOU!!
- A.H., San Diego State University
I loved how I could go at my own pace. It made managing my life and schoolwork so much easier.
- B.M., Indiana University/Purdue University, Fort Wayne
Both of my facilitators were excellent! When I had a question, I received a response the same day. I received calls from my counselor and really had good visits. I was encouraged and told that I could do this. I needed about a month extension, and I got 6 more months – for FREE! Of course, I didn't take the 6 more months, but there was no pressure to finish. Thanks.
- W.H., Northwest Technology Center-Alva Campus