Health Insurance Terms
In this course, you will delve into the complex world of health insurance terms. You will learn about different types of health insurance plans, terminology related to healthcare providers, and the intricacies of third-party reimbursement. A solid grasp of health insurance terms is essential for accurate billing and coding.
Pharmacology for Coders
Pharmacology plays a significant role in medical coding and billing. This course introduces you to the basics of pharmacology, including drug classifications, routes of administration, and their impact on coding and billing processes. You will learn how to apply pharmacological knowledge to ensure accurate coding and reimbursement.
ICD-10-CM Coding
ICD-10-CM (International Classification of Diseases, Tenth Revision, Clinical Modification) is the standard coding system used for diagnoses. This course familiarizes you with the ICD-10-CM coding guidelines, conventions, and steps for assigning codes. You will learn how to translate medical documentation into accurate and specific codes, ensuring proper reimbursement.
CPT and HCPCS Level II Coding
The Healthcare Common Procedure Coding System (HCPCS) and Current Procedural Terminology (CPT) codes are essential for coding medical procedures and services. This course provides an in-depth understanding of CPT and HCPCS Level II coding systems. You will learn how to navigate the code books, assign codes accurately, and ensure proper reimbursement for medical services provided.
Abstracting Information from Medical Documents
Medical billers and coders often work with various medical documents, such as soap notes, consultation reports, operative reports, and emergency room records. This course teaches you how to extract relevant information from these documents and translate it into accurate codes. You will gain practical skills in coding from real-world medical records.
Submitting Claims and Electronic Billing
This course focuses on the practical aspects of submitting claims and utilizing electronic billing systems. You will learn how to prepare and submit claims electronically, ensuring accuracy and efficiency in the billing process. Additionally, you will gain knowledge of the CMS 1500 form, electronic data interchange (EDI), and the National Uniform Claim Committee (NUCC) guidelines.
