Medical Billing and Coding

Medical Billing and Coding (CPC)

Meditec offers a medical billing and coding training program that prepares you to successfully enter the healthcare field. Meditec's programs are also offered 100% online, so you have control over your schedule.

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This Medical Billing and Coding program with 60 hours of medical terminology training, gives you a competitive edge in entering the healthcare field. CPC 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 Professional Coder (CPC) exam, offered by the American Academy of Professional Coders (AAPC). The registration fee for this exam is included with this program.

Objectives

Upon completion of this program, you’ll be well prepared to find your place in this rewarding healthcare career. You will also be able to sit for the Certified Professional Coder (CPC) exam offered by the American Academy of Professional Coders (AAPC), the registration fee for this exam is included with this program. This program will also prepare you to sit for the Certified Coding Associate (CCA) exam.

Upon successful completion of this program, you will understand:

  • Medical Terminology
  • Legal, ethical, and regulatory concepts that are central to the field, including HIPAA compliance and third-party guidelines for filing insurance claims
  • Practical experience in medical billing and coding and work with the main coding manuals: ICD-10-CM, ICD-10-PCS, CPT, and HCPCS Level II
  • Disorders and medical procedures common to each body system, including musculoskeletal, cardiovascular, respiratory, digestive, nervous, endocrine, integumentary, genitourinary, lymphatic, and immune
  • How to find, land, and keep a job in your new field

Registration Criteria

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 program.

Program Description:

Medical Billing and Coding

I. Introduction to Medical Billing and Coding
  • Personal Qualifications
  • Career Opportunities
  • Certifications
II. Healthcare Law
  • HIPAA Privacy Rule and Security Rule
  • Protected Health Information
  • Fraud and Abuse
  • Stark Law
  • False Claims Act
III. Introduction to Health Insurance Terms
  • Health Insurance Terms
  • Managed Care
  • Healthcare Provider Terms
  • Third-Party Reimbursement Methods
IV. Pharmacology for Coders
  • Definition of Pharmacology
  • Generic and Brand Names
  • Drug Classifications
  • Therapeutic Uses of Medications
  • Routes of Administration
  • Formularies
  • Medication Lists
V. ICD-10-CM
  • Overview of ICD-10-CM
  • Format of ICD-10-CM
  • ICD-10-CM Coding Guidelines
  • ICD-10-CM Coding Conventions
  • Steps for Assigning ICD-10-CM Codes
VI. CPT and HCPCS Level II Coding
  • Healthcare Common Procedure Coding System
  • Organization of the CPT Code Book
  • CPT Coding Conventions
  • Organization of the HCPCS Level II Code Book
  • Steps for Assigning CPT and HCPCS Level II Codes
VII. Abstracting Information from Medical Documents
  • Coding from SOAP Notes
  • Coding from a Consultation Report
  • Coding from Operative Reports
  • Coding from Emergency Room Records
  • Coding from Procedure Reports
VIII. New Patients, Insurance Claims and EOBs
  • Electronic, Paper and Hybrid Medical Records
  • Practice Management Software
  • Patient Portal
  • Developing an Insurance Claim
  • New Patient Procedures
  • Medical Necessity
  • Explanation of Benefits (EOB)
  • Collection Practices

IX. Submitting Electronic Claims and CMS 1500

  • Electronic Data Interchange (EDI)
  • Electronic Claims Submission
  • 1500 Claim Form
  • National Uniform Claim Committee
X. Blue Cross/Blue Shield
  • Participating and Nonparticipating Providers
  • Allowable Fee
  • Usual, Customary and Reasonable (UCR)
  • Blue Shield Claims Submission
XI. Medicare
  • Medicare Parts A, B, C and D
  • Participating and Nonparticipating Providers
  • Advance Beneficiary Notice (ABN)
  • Supplemental Insurance
  • NCCI
  • Medicare Claims Submission
XII. Other Healthcare Programs
  • Medicaid
  • TRICARE
  • CHAMPVA
  • Workers’ Compensation
  • Claims Submission
XIII. ICD-10-PCS
  • Overview of ICD-10-PCS
  • ICD-10-PCS Code Structure
  • Index and Table Conventions
  • Code Components
  • Definitions Used in ICD-10-PCS
XIV. Survey of Hospital Billing
  • Hospital Revenue Cycle
  • Chargemaster
  • Master Patient Index
  • Prospective Payment Systems
  • Principal Diagnosis
  • Present On Admission
XV. Career Roadmap for Medical Billing and Coding – Find a Job Fast
  • Introduction
  • Succeeding in the Gig Economy
  • Your Skills and Talents
  • Your Résumé and Cover Letter
  • Using Email and Social Media
  • Connecting with Others
  • Acing the Interview
  • Negotiating Your Salary
  • After You Land the Job
  • Review and Reflect

Medical Terminology

I. A Foundation in Medical Terminology
  • The Fundamentals of Medical Terminology
  • Overview of the Human Body
  • Practicing What You’ve Learned
II. The Skeletal and Muscular Systems
  • Overview of the Skeletal System
  • Overview of the Muscular System
  • Practicing What You’ve Learned
III. The Cardiovascular and Respiratory Systems
  • Overview of the Cardiovascular System
  • Overview of the Respiratory System
  • Practicing What You’ve Learned
IV. The Digestive, Urinary, and Reproductive Systems
  • Overview of the Digestive System
  • Overview of the Urinary System
  • Overview of the Reproductive System
  • Practicing What You’ve Learned
V. Nervous and Integumentary Systems and Special Senses
  • Overview of the Nervous System
  • Overview of the Integumentary System
  • Overview of Special Senses
  • Practicing What You’ve Learned
VI. The Lymphatic, Immune, and Endocrine Systems
  • Overview of the Lymphatic System
  • Overview of the Immune System
  • Overview of the Endocrine System
  • Practicing What You’ve Learned

This is a self-paced program supported by an experienced mentor. Our mentors are subject experts with several years of experience in their respective fields and have the necessary educational training and credentials required to work as an expert. In case of any queries or questions regarding course content, course material, certifications, industry questions or on the progress of the student’s training and advancement, you can contact us on the information mentioned below.

Contact Information:
Meditec Student Support: 866-451-3854
CTP Student Support: [email protected]

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Student Information

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Enrollment Summary

Medical Billing and Coding (CPC)

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