ED-CCTP-116 Medical Billing & Coding Professional Program

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Category: 
Medical & Healthcare, CCTP Programs
Combined Hours: 
700
Course Type: 
Mentor Supported Self-Study
Bundled Courses:
Medical Terminology: An Overview
Medical Billing
Medical Coding
Anatomy & Physiology
  • Description
  • Objectives
  • Outline
  • Materials
  • Certification
  • System Requirements
  • Watch a Demo

Our Complete Career Training Programs (CCTP) include both the training you need and the skills you will want in order to be prepared for your new career. We have taken online career programs to a whole new level by bundling our Career Training with Personal Enrichment courses to ensure you have a diversified learning experience.

Our mentor-supported career courses focus on the industry standards that prepare you for your chosen career or certification. You will also get our smaller, four-week long, instructor-led personal enrichment courses to further your employment training.

Sign up today for this all-inclusive career training program!  

Medical Terminology: An Overview

After completing this course, you should be able to:

  • Identify the foundation of medical terminology
  • List functions of major body systems such as skeletal, muscular and sensory
  • Recall how your blood vessels, lymph nodes and heart work together
  • Recognize the fundamentals of the body’s endocrine system, central nervous system and the male and female reproductive systems

Medical Billing

After completing this course, you should be able to:

  • Identify the core elements of health insurance
  • List features of the different coding systems and their documentation
  • Define the features of processing claim forms both electronic and paper
  • Recall the basics of fee and insurance collection
  • Recognize the features of various health care payer types

Medical Coding

After completing this course, you should be able to:

  • Identify the core elements of the ICD-10-CM coding system
  • Recognize the conventions and guidelines of the ICD-10-CM coding system
  • List the conventions and guidelines of the HCPCS coding system
  • Define the fundamental uses and guidelines of the CPT coding system
  • Recall the use of modifiers and evaluation and management services (E/M)

Anatomy & Physiology

After completing this course, you should be able to:

  • Define the basic concepts of anatomy and physiology
  • Recognize how cells and organs develop and change throughout the life span
  • Recall how each body system functions independently and contribute to overall function
  • State basic characteristics of each organ system and how they contribute to maintaining normal body function
  • Differentiate between organ systems of the body and their various functions 

Medical Terminology: An Overview

Medical Terminology: An Overview Module 1 
Prefixes, Roots, and Suffixes

Module one will take a look at the basics of body anatomy and organization, the foundation of medical terminology and why words are structured the way they are. We will look at the relationship between Greek and Latin roots, prefixes, suffixes and everyday pronunciation.

  • History of Medical Terminology
  • Applying Different Rules of Pluralization
  • Deconstructing Medical Words
  • Pronunciation and Everyday Usage 
  • Organization of the Body

Medical Terminology: An Overview Module 2 
Bones, Muscles, Skin and Sensory

Module two discusses the major body systems such as skeletal, muscular and sensory and their root terminology. We will cover how systems function together and how they correlate to the overall health of the human body, as well as pathology, diseases and conditions that affect these systems.

  • Terminology of the Skeletal, Muscular, Integumentary and Sensory Systems
  • Skeletal Diseases and Pathology
  • Classes and Types of Muscles
  • Skin Layers and Conditions
  • Anatomy of Eyes, Ears and Nose

Medical Terminology: An Overview Module 3 
Heart, Lungs and Gastrointestinal

Module three covers how your blood vessels, lymph nodes and heart all work together, as well as how the respiratory system and organs of the digestive system function. We will also recognize the proper way to diagnose gastrointestinal and respiratory conditions according to the specific body part.

  • The Cardiovascular and Lymphatic Systems
  • Veins, Arteries and Blood Flow
  • Organs of the Digestive System
  • Gastrointestinal Diseases and Pathology
  • Respiratory Terminology and Diagnostic Tests

Medical Terminology Module 4
Hormones, Nerves, Urinary and Reproductive

Module four discusses the fundamentals of the body’s endocrine system, the central nervous system and the male and female reproductive systems. We will also cover easy methods and simple phrases for memorizing medical terms through study guides and tips and tricks.

  • Endocrine System and Hormone Functions 
  • Parts of the Central Nervous System
  • Urinary Tract Functions
  • Male Reproductive Systems
  • Female Reproductive Systems

Medical Billing

Medical Billing Module 1
Basics of Insurance Billing and Compliance

  • Insurance Billing Specialist
  • Insurance Claims, Coding, & Billing Background
  • Medical Etiquette
  • Medical Ethics
  • Health Insurance Portability and Accountability Act (HIPAA)
  • Fraud and Abuse Laws
  • Compliance Programs
  • Health Care Reform
  • Insurance Policies

Medical Billing Module 2
Basics of Health Insurance

  • History of Health Insurance in the United States
  • Health Care Reform
  • Types of Health Insurance Coverages
  • Private Health Insurance
  • Managed Care Systems
  • Financial Management
  • Medicare
  • Policies and Regulations
  • Medicare Reimbursement
  • Claim Submission

Medical Billing Module 3
State Programs and Veterans’ Health Care

  • Medicaid Programs
  • Medicaid Eligibility
  • Medicaid Benefits
  • Medicaid Managed Care
  • TRICARE
  • History of Tricare
  • Health Plans
  • Veterans Health Administration Program

Medical Billing Module 4
Workers’ Compensation and Disability Programs

  • Workers’ Compensation Laws and Insurance
  • Types of State Compensation Benefits
  • Fraud and Abuse
  • Legal Situations
  • Reporting Requirements
  • Disability Claims
  • Disability Income Insurance
  • Federal Disability Programs
  • State Disability Insurance
  • Voluntary Disability Insurance

Medical Billing Module 5
Documentation and Coding for Professional Services

  • Documentation Process
  • Electronic Health Records
  • Health Record Documentation
  • Review and Audit of Health Records
  • Diagnostic Coding
  • Official Guidelines for ICD-10-CM
  • Procedural Coding
  • Current Procedural Terminology Content and Format
  • Code Modifiers

Medical Billing Module 6
Claims Submission in the Medical Office

  • The Paper Claim CMS-1500
  • Types of Submitted Claims
  • Health Insurance Claim Form (CMS-1500)
  • Claim Completion Guidelines
  • Electronic Claims
  • Clearinghouses
  • Claim Attachment Standards
  • Practice Management System
  • Computer Claims Systems

Medical Billing Module 7
The Claim Follow-Up and Payment Process

  • Revenue Cycle Management
  • Claim Policy Guidelines
  • Explanation of Benefits
  • Claim Management Techniques
  • Rebilling
  • Review and Appeal Process
  • Filing an Appeal
  • Collection Strategies
  • Accounts Receivable

Medical Billing Module 8
Healthcare Facility Billing

  • Ambulatory Surgery Centers
  • Payment Systems
  • Payment Rates
  • Revenue Cycle Management
  • Medical Records for Reimbursement
  • Hospital Outpatient and Inpatient Billing
  • Employment Opportunities
  • Self-Employment

**Outlines are subject to change, as courses and materials are updated.**

Medical Coding

Medical Coding Module 1
Overview of ICD-10-CM

  • Reimbursement, HIPAA and Compliance
  • Basic Structure of the Medicare Program
  • Improvements to the ICD-10-CM
  • ICD-10-CM Format
  • Mapping
  • Outpatient Coding and Reporting Guidelines
  • Unconfirmed Diagnosis
  • Z Codes
  • Chronic Diseases
  • Therapeutic Services

Medical Coding Module 2     
Using ICD-10-CM

  • Accurate Coding
  • Alphabetic Index and Tabular List
  • Level of Specificity
  • Integral Conditions
  • Multiple Coding
  • Chapter Specific Guidelines Chapters 1-10
  • Endocrine, Nutritional and Metabolic Diseases
  • Diseases of the Nervous System
  • Diseases of the Circulatory System
  • Diseases of the Respiratory System

Medical Coding Module 3     
Chapter-Specific Guidelines

  • Diseases of the Digestive System
  • Diseases of the Skin and Subcutaneous Tissue
  • Diseases of the Musculoskeletal System and Connective Tissue
  • Pregnancy, Childbirth and Puerperium
  • Congenital Malformations, Deformations and Chromosomal Abnormalities
  • Symptoms, Signs and Abnormal Clinical and Laboratory Findings
  • Injury and Poisoning

Medical Coding Module 4    
CPT, HCPCS and Modifiers

  • The Purpose of the CPT Manual
  • Updating the CPT Manual
  • CPT Manual Format
  • Level II National Codes (HCPCS)
  • History of National Level Codes
  • Updating the HCPCS Manual
  • National Physician Fee Schedule
  • CPT Modifiers

Medical Coding Module 5  
E/M Services and Anesthesia

  • Contents of the E/M Section
  • Three Factors of E/M Codes
  • Various Levels of E/M Service
  • An E/M Code Example
  • Using the E/M Codes
  • Documentation Guidelines
  • Types of Anesthesia
  • Anesthesia Section Format
  • Formula for Anesthesia Payment
  • Concurrent Modifiers

Medical Coding Module 6   
Surgery Guidelines and Integumentary System

  • Surgery Section
  • Notes and Guidelines
  • Special Reports
  • Separate Procedure
  • Surgical Package
  • Skin, Subcutaneous and Accessory Structures
  • Burns
  • Destruction
  • Breast Procedures

Medical Coding Module 7
Musculoskeletal and Respiratory Systems

  • Fractures and Dislocations
  • Application of Casts and Strapping
  • Endoscopy
  • Arthroscopy
  • Accessory Sinuses
  • Larynx
  • Trachea
  • Bronchi Lungs and Pleura

Medical Coding Module 8
Cardiovascular, Hemic, Lymphatic and Digestive Systems

  • Cardiovascular Coding in the Surgery Section
  • Cardiovascular Coding in the Medicine Section
  • Cardiovascular Coding in the Radiology Section
  • Hemic and Lymphatic Systems
  • Mediastinum and Diaphragm
  • Lips
  • Vestibule of Mouth
  • Salivary Glands and Ducts
  • Pharynx, Adenoids and Tonsils
  • Intestines

Medical Coding Module 9
Urinary, Reproductive and Genital Systems

  • Urinary System
  • Male Genital System
  • Intersex Surgery
  • Reproductive System Procedures
  • Male and Female Genital Systems
  • Maternity Care and Delivery

Medical Coding Module 10
Endocrine System, Eye, Ocular Adnexa and Radiology

  • Nervous System
  • Auditory System
  • Operating Microscope
  • Radiology Terminology
  • Diagnostic Radiology
  • Breast Mammography
  • Diagnostic Ultrasound
  • Radiation Oncology

Medical Coding Module 11
Pathology/Laboratory, Medicine and Inpatient Coding

  • Organ or Disease Oriented Panels
  • Therapeutic Drug Assays
  • Urinalysis, Molecular Pathology and Chemistry
  • Immunizations
  • Gastroenterology
  • Allergy and Clinical Immunology
  • Medical Nutrition Therapy
  • Medication Therapy Management Services
  • Differences between Inpatient and Outpatient Coding
  • Present on Admission (POA)

**Outlines are subject to change, as courses and materials are updated.**

Anatomy & Physiology

Anatomy & Physiology Module 1   
Human Body and Chemical Level of Organization  

  • Overview of Anatomy and Physiology
  • Structural Organization of the Human Body
  • Functions of Human Life
  • Requirements for Human Life
  • Homeostasis
  • Anatomical Terminology
  • Medical Imaging
  • Elements and Atoms
  • Chemical Bonds and Reactions
  • Inorganic and Organic Compounds Essential to Human Functioning

Anatomy & Physiology Module 2   
Cellular and Tissue Organization  

  • Cell Membrane
  • Cytoplasm and Cellular Organelles
  • Nucleus and DNA Replication
  • Protein Synthesis
  • Cell Growth and Division
  • Cellular Differentiation
  • Types of Tissues
  • Epithelial Tissue
  • Connective Tissue Mediates Perception and Response
  • Tissue Injury and Aging

Anatomy & Physiology Module 3 
The Integumentary System, Bone Tissue and Skeletal System  

  • Layers of the Skin
  • Accessory Structures of the Skin
  • Functions of the Integumentary System
  • Diseases, Disorders and Injuries
  • Functions of the Skeletal System
  • Bone Classification and Structure
  • Bone Formation and Development
  • Fractures: Bone Repair
  • Exercise, Nutrition, Hormones and Bone Tissue
  • Calcium Homeostasis  

Anatomy & Physiology Module 4
Axial Skeleton and Appendicular Skeleton   

  • Divisions of the Skeletal System
  • The Skull
  • The Vertebral Column
  • The Thoracic Cage
  • Embryonic Development of the Axial Skeleton
  • The Pectoral Girdle
  • Bones of the Upper Limb
  • The Pelvic Girdle and Pelvis
  • Bones of the Lower Limb
  • Development of the Appendicular Skeleton 

Anatomy & Physiology Module 5   
Joint and Muscle Tissue

  • Classification of Joints
  • Fibrous Joints
  • Cartilaginous Joints
  • Synovial Joints
  • Types of Body Movements
  • Development of Joints
  • Skeletal Muscle
  • Muscle Fiber Contraction and Relaxation
  • Nervous System Control of Muscle Tension
  • Cardiac Muscle Tissue

Anatomy & Physiology Module 6    
The Muscular System, Nervous System and Nervous Tissue

  • Interactions of the Skeletal Muscles
  • Naming Skeletal Muscles
  • Axial Muscles of the Head, Neck and Back
  • Axial Muscles of the Abdominal Wall and Thorax
  • Muscles of the Pectoral Girdle and Upper Limbs
  • Structure and Function of the Nervous System
  • Function of Nervous Tissue
  • Action Potential
  • Communication Between Nerves

Anatomy & Physiology Module 7  
Anatomy of the Nervous System and Somatic Nervous System 

  • The Embryologic Perspective
  • The Central Nervous System
  • Circulation and the Central Nervous System
  • The Peripheral Nervous System
  • Sensory Processing
  • Central Processing
  • Motor Responses

Anatomy & Physiology Module 8   
Autonomic Nervous System and Neurological Exam

  • Divisions of the Autonomic Nervous System
  • Autonomic Reflexes and Homeostasis
  • Central Control
  • Drugs that Affect the Autonomic System
  • Overview of the Neurological Exam
  • Mental Status Exam
  • Cranial Nerve Exam
  • Sensory and Motor Exams
  • Coordination and Gait Exams

Anatomy & Physiology Module 9    
Endocrine and Cardiovascular System: Blood 

  • Hormones
  • Pituitary Gland and Hypothalamus
  • Thyroid Gland
  • Parathyroid Gland
  • Adrenal Gland
  • Pineal Gland
  • Gonadal and Placental Hormones
  • An Overview of Blood
  • Production of the Formed Elements
  • Erythrocytes, Leukocytes and Platelets
  • Hemostasis

Anatomy & Physiology Module 10    
Cardiovascular System: The Heart and Blood Vessels and Circulation   

  • Heart Anatomy
  • Cardiac Muscle and Electrical Activity
  • Cardiac Cycle
  • Cardiac Physiology
  • Development of the Heart
  • Structure and Function of Blood Vessels
  • Blood Flow, Blood Pressure and Resistance
  • Capillary Exchange
  • Homeostatic Regulation of the Vascular System
  • Development of Blood Vessels and Fetal Circulation

Anatomy & Physiology Module 11   
Lymphatic, Immune System and Respiratory System

  • Barrier Defenses and Innate Immune Response
  • Adaptive Immune System: T lymphocytes and Their Functional Types
  • Adaptive Immune System: B-lymphocytes and Antibodies
  • The Immune Response against Pathogens
  • Diseases Associated with Depressed or Overactive Immune Responses
  • Transplantation and Cancer Immunology
  • Organs and Structures of the Respiratory System
  • The Lungs
  • The Process of Breathing
  • Gas Exchange

Anatomy & Physiology Module 12    
The Digestive System and Metabolism and Nutrition   

  • Digestive System Processes and Regulation
  • The Mouth, Pharynx and Esophagus
  • The Stomach
  • The Small and Large Intestines
  • Accessory Organs in Digestion: The Liver, Pancreas and Gallbladder
  • Chemical Digestion and Absorption
  • Carbohydrate Metabolism
  • Lipid and Protein Metabolism
  • Metabolic States of the Body
  • Energy and Heat Balance

Anatomy & Physiology Module 13    
The Urinary System, Fluid, Electrolyte and Acid-Base Balance

  • Physical Characteristics of Urine
  • Gross Anatomy of Urine Transport and Kidney
  • Physiology of Urine Reformation
  • Tubular Reabsorption
  • Regulation of Renal Blood Flow
  • Body Fluids and Fluid Compartments
  • Water Balance
  • Electrolyte Balance
  • Acid-Base Balance
  • Disorders of Acid-Base Balance

Anatomy & Physiology Module 14    
The Reproductive System, Development and Inheritance

  • Anatomy of the Male Reproductive System
  • Anatomy of the Female Reproductive System
  • Development of the Male and Female Reproductive Systems
  • Fertilization
  • Embryonic Development
  • Fetal Development
  • Maternal Changes During Pregnancy, Labor and Birth
  • Adjustments of the Infant at Birth and Postnatal Stages
  • Lactation
  • Patterns of Inheritance

**Outlines are subject to change, as courses and materials are updated.**

All course materials included.

Medical Terminology

Medical Billing

Upon successful completion of our Medical Billing course, students will be prepared to sit for the American Medical Certification Association's (AMCA) Medical Coder & Biller (MCBC) certification exam. Proof of course completion is required and applicants must pass the exam within one year from the date of training completion. 

Note: This course is not affiliated with, nor has it been endorsed by the American Medical Certification Association (AMCA). 

Medical Coding

Upon successful completion of our Medical Coding course, students will be prepared for an entry-level position doing medical coding in a medical office setting and will be prepared to sit for the American Health Information Management Association's (AHIMA) national certification exam to become a Certified Coding Associate (CCA).

Note: This course is not affiliated with, nor has it been endorsed by the American Health Information Management Association (AHIMA). 

Keyboarding Made Easy

Internet Connection

  • Broadband or High-Speed - DSL, Cable, and Wireless Connections

*Dial-Up internet connections will result in a diminished online experience. Classroom pages may load slowly and viewing large audio and video files may not be possible.

Hardware Requirements

  • Processor - 2GHz Processor or Higher
  • Memory - 1 GB RAM Minimum Recommended

 

PC Software Requirements

  • Operating Systems - Windows 7 or higher
  • Microsoft Office 2013 or higher. Also, you could use a general Word Processing application to save and open Microsoft Office formats (.doc, .docx, .xls, .xlsx, .ppt, .pptx)
  • Internet Browsers - Google Chrome is highly recommended
    • Cookies MUST be enabled
    • Pop-ups MUST be allowed (Pop-up Blocker disabled)
  • The Kindle Reader App or VitalSource Bookshelf App are needed for many of our courses (No special equipment needed. This can be downloaded for FREE onto your computer.)
  • PowerPoint Viewer (if you do not have PowerPoint)
  • Adobe PDF Reader
  • QuickTime, Windows Media Player &/or Real Player

 

MAC Software Requirements

  • Operating Systems - Mac OS x 10 or higher with Windows
  • Mac office programs or a Word Processing application to save and open Microsoft Office formats (.doc, .docx, .xls, .xlsx, .ppt, .pptx)
  • Internet Browsers- Google Chrome is highly recommended
    • Cookies MUST be enabled
    • Pop-ups MUST be allowed (Pop-up Blocker disabled)
  • The Kindle Reader App or VitalSource Bookshelf App are needed for many of our courses (No special equipment needed. This can be downloaded for FREE onto your computer.)
  • PowerPoint Viewer (if you do not have PowerPoint)
  • Adobe PDF Reader
  • Apple QuickTime Media Player

 


Click on the school name below for purchasing info:

900 West Orman Avenue
Pueblo, CO 81004
United States
Phone: 727-824-7800 ext. 8

This course is also available at the following school:

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