Medical Terminology Course (50 hours)

• Introduction to Medical Terminology
  • Describe the origin of medical terms.
  • Define the four-word parts and the combining vowel.
  • Define medical terms from word parts.
  • Identify types of medical terms not built from word parts.
  • Identify common medical references.
  • Use a medical dictionary.
• Body Structure, Color and Oncology
  • Define the four types of human tissues.
  • Identify the body cavities.
  • Define the word parts defining color.
  • Define, pronounce, and spell oncology terms and abbreviations.
• Directional Terms, Planes, Positions, Regions, and Quadrants
  • Describe the anatomical position and anatomic planes.
  • Define, pronounce, and spell the body positions.
  • Define, pronounce, and spell the abdominopelvic regions.
  • Interpret meaning of abbreviations related to directional terms and quadrants.
• Integumentary System
  • Identify and define the anatomy of the integumentary system.
  • Define and spell word parts related to the integumentary system.
  • Define, pronounce, and spell disease and disorder terms related to the integumentary system.
  • Define, pronounce, and spell surgical and complementary terms  related to the integumentary system.
  • Interpret the meaning of abbreviations related to the integumentary system.
• Respiratory System
  • Identify and define the anatomy of the respiratory system.
  • Define and spell word parts related to the respiratory system.
  • Define, pronounce, and spell disease and disorder terms related to the respiratory system.
  • Define, pronounce, and spell surgical, diagnostic, and complementary terms related to the respiratory system.
  • Interpret the meaning of abbreviations related to the respiratory system.
• Urinary System
  • Identify and define the anatomy of the urinary system.
  • Define, pronounce, & spell disease & disorder terms related to urinary system.
  • Define and spell word parts related to the urinary system.
  • Define, pronounce, and spell surgical, diagnostic, and complementary terms related to the urinary system.
  • Interpret the meaning of abbreviations related to the urinary system.
• Male Reproductive System
  • Identify and define the anatomy of the male reproductive system.
  • Define and spell word parts relating to the male reproductive system.
  • Define, pronounce, and spell disease and disorder terms related to the male reproductive system.
  • Define, pronounce, and spell surgical, diagnostic and complementary terms related to the male reproductive system.
  • Interpret the meaning of abbreviations related to the male reproductive system.
• Female Reproductive System
  • Identify and define the anatomy of the female reproductive system.
  • Define and spell word parts related to the female reproductive system.
  • Define, pronounce, and spell disease and disorder terms related to the female reproductive system.
  • Define, pronounce, and spell surgical, diagnostic and complementary terms related to the female reproductive system.
  • Interpret the meaning of abbreviations related to female reproductive system.
• Obstetrics and Neonatology
  • Identify and define the anatomy as related to obstetrics & neonatology.
  • Define and spell word parts related to obstetrics & neonatology.
  • Define, pronounce, and spell disease and disorder terms related to obstetrics and neonatology.
  • Define, pronounce, and spell surgical, diagnostic, and complementary terms related to obstetrics & neonatology.
  • Interpret the meaning of abbreviations related to obstetrics & neonatology.
• Cardiovascular and Lymphatic Systems and Blood
  • Identify and define the anatomy of the cardiovascular and lymphatic systems and blood.
  • Define and spell word parts related to the cardiovascular and lymphatic systems and blood.
  • Define, pronounce, and spell disease and disorder terms related to the cardiovascular and lymphatic systems and blood.
  • Define, pronounce, and spell surgical, diagnostic and complementary terms related to the cardiovascular system, lymphatic system and blood.
  • Interpret the meaning of abbreviations related to the cardiovascular and lymphatic systems and blood.
• Digestive System
  • Identify and define the anatomy of the digestive system.
  • Define and spell word parts relating to the digestive system.
  • Define, pronounce, and spell disease and disorder terms related to the digestive system.
  • Define, pronounce, and spell surgical, diagnostic and complementary terms related to the digestive system.
  • Interpret the meaning of abbreviations related to the digestive system.
• Eye
  • Identify and define the anatomy of the eye.
  • Define and spell word parts relating to the eye.
  • Define, pronounce, and spell disease and disorder terms related to the eye.
  • Define, pronounce, and spell surgical, diagnostic, and complementary terms related to the eye.
  • Interpret the meaning of abbreviations related to the eye.
• Ear
  • Identify and define the anatomy of the ear.
  • Define and spell word parts related to the ear.
  • Define, pronounce, and spell disease and disorder terms related to the ear.
  • Define, pronounce, and spell surgical, diagnostic and complementary terms related to the ear.
  • Interpret the meaning of abbreviations related to the ear.
• Musculoskeletal System
  • Identify and define the anatomy of the musculoskeletal system.
  • Define and spell word parts relating to the musculoskeletal system.
  • Define, pronounce, and spell disease and disorder terms related to the musculoskeletal system.
  • Define, pronounce, and spell surgical, diagnostic, and complementary terms related to the musculoskeletal system.
  • Interpret the meaning of abbreviations related to the musculoskeletal system.
• Nervous System and Behavioral Health
  • Identify and define the anatomy of the nervous system.
  • Define and spell word parts relating to the nervous system.
  • Define, pronounce, and spell disease and disorder terms related to the nervous system.
  • Define, pronounce, and spell surgical, diagnostic, and complementary terms related to the nervous system.
  • Define, pronounce, and spell behavioral health terms.
  • Interpret the meaning of abbreviations related to the nervous system.
• Endocrine System
  • Identify and the anatomy of the endocrine system.
  • Define and spell word parts relating to the endocrine system.
  • Define, pronounce, and spell disease and disorder terms related to the endocrine system.
  • Define, pronounce, and spell surgical, diagnostic, and complementary terms related to the endocrine system.
  • Interpret the meaning of abbreviations related to the endocrine system.

Medical Coding Course (200 hours)

• Health Insurance Specialist Career
  • Introduction to Health Insurance
  • Key Terms Related to Health Insurance
  • Health Insurance Specialist Job Description
  • Professionalism and the Health Insurance Specialist
• Managed Healthcare
  • Healthcare vs. Medical Care
  • Evolution of Healthcare Reimbursement
  • Medical Documentation
  • EHR
  • Managed Care
  • Effects of Managed Care on Physician’s Practice
• Processing an Insurance Claim
  • Insurance Claim
  • New Patient vs. Established Patient
  • Insurance Claims Lifecycle
  • Organization and Maintenance of Insurance Claim Files
• Legal and Regulatory Issues
  • Uses of the Federal Register
  • HIPAA for Health Insurance Claim
  • HIPAA Title II—Preventing Health Care Fraud and Abuse
  • Medicare Integrity Program
  • Recovery Audit Contractor Program
  • HIPAA Security Rule
  • HIPAA Privacy Rule
• Medical Coding Systems
  • Introduction to Medical Coding
  • ICD-9-CM Coding System
  • CPT Coding System
  • HCPCS Level II National Codes
• CMS Reimbursement Methodologies
  • Evolution of CMS Reimbursement Systems
  • CMS Payment Systems
  • Chargemaster
  • Revenue Cycle Management
  • UB-04 Claim Form
• Coding for Medical Necessity
  • Introduction to Coding for Medical Necessity
  • Applying Coding Guidelines
  • Medical Record Documentation
  • Coding from Various Patient Reports
• Essential CMS-1500 Claim Instructions
  • General Insurance Billing Guidelines
  • Optical Scanning Guidelines
  • CMS-1500 Claims Completion Instructions
  • Common Errors that Delay Payment
  • Processing Claims
• Commercial Insurance
  • Introduction to Commercial Health Insurance and Types of Health Insurance Plans
  • Automobile Insurance vs. Disability Insurance vs. Liability Insurance
  • Primary Insurance vs. Secondary Insurance
  • Commercial Claims Completion Instructions
• Blue Cross and Blue Shield Plans
  • Evolution of Blue Cross Blue Shield
  • Blue Cross Blue Shield Plans
  • Notes for Completing a Blue Cross Blue Shield Billing Claim
  • Blue Cross Blue Shield Claims Completion Instructions
• Medicare
  • Medicare Eligibility and Enrollment
  • Types of Medicare Coverage
  • Participating vs. Nonparticipating Providers
  • Surgical Disclosure Notice and Advance Beneficiary Notice
  • Medicare—Primary Payer vs. Secondary Payer
  • Notes for Completing a Medicare Billing Claim
  • Claims Completion Instructions for Medicare Payers
• Medicaid
  • Medicaid Eligibility
  • Medicaid Covered Services
  • Notes for Completing a Medicaid Billing Claim
  • Claims Completion Instructions for Medicaid Claims
• TRICARE
  • Evolution of TRICARE
  • Administration of TRICARE
  • Administration of CHAMPVA
  • Notes for Completing a TRICARE Billing Claim
  • TRICARE Claim Completion Instructions
• Workers’ Compensation
  • Federal Workers’ Compensation Programs
  • State Workers’ Compensation Coverage
  • Eligibility Coverage and Classification of Workers’ Compensation Cases
  • First Report of Injury Form and Progress Reports
  • Notes for Completing a Workers’ Compensation Billing Claim
  • Workers’ Compensation Claim Completion Instructions

Medical Billing Course (140 hours)

• Today’s Healthcare Environment
  • Introduction to Healthcare Management
  • Types of Medical Practice Ownership
  • Types of Physicians
  • Specialty Care Practices
  • Role of a Medical Office Manager
• Communications in a Medical Office
  • Verbal Communication
  • Written Communication
  • Composing Patient Letters
  • Using Memos
  • Policy for E-mail Exchange with Patients
  • Nonverbal Communication
  • Importance of Proper Communication in a Medical Office
• Legal and Ethical Issues in Managing a Medical Office
  • Standard of Care for a Medical Office
  • Credentialing Documents Needed in a Personnel File
  • Physician Malpractice
  • Physician-Patient Relationships
  • Medical Ethics
  • Medical Treatment of Minors
• Personnel Management
  • Management Styles and Their Impact
  • Hiring a New Employee
  • Orientation and Training Plan
  • Timeline for Conducting Employee Evaluations
  • Disciplining and Terminating Employees
  • Sexual Harassment in the Workplace
• Managing the Front Office
  • Telephone Etiquette
  • Prioritizing Telephone Calls
  • Dealing with Difficult Callers
  • Importance of Documenting Telephone Calls
  • Purpose and Function of Answering Services
  • Maintaining the Reception Area
  • Customer Service in the Front Office
• Appointment Scheduling
  • Scheduling New Patient Appointments
  • Importance of Appointment Time Management
  • Appointment Schedule as a Legal Document
  • Scheduling Hospital Services and Admissions
• Medical Records Management
  • Purpose of a Medical Record
  • Medical Record Formats
  • Retaining and Disposing Medical Records
  • Release of Information
• Regulatory Compliance in a Healthcare Setting
  • Impact of HIPAA Legislation on Patient Care
  • Function of HIPAA Business Associate Agreement
  • Purpose of the Red Flags Rule
  • Need for Corporate Compliance Plans
  • Compliance with The Joint Commission, OSHA, and CLIA
  • Fraud and Abuse in Health care
  • Impact of the Healthcare Reform Act
• Duties of a Medical Office Manager
  • Management vs. Supervision
  • Responsibilities
  • Leadership Styles
  • Ordering and Processing Medical Supplies
• Use of Computers in a Medical Office
  • Basic Components of a Computer
  • Maintaining Computer Equipment
  • Computer Software in a Medical Office
  • Ensuring Computer Security
  • Electronic Medical Records
  • Prescription Management Software
  • Ergonomics in a Medical Office
• Office Policies and Procedures
  • Personnel Manual
  • Medical Office Policies
  • Medical Office Procedures
• Accounting and Payroll in a Medical Office
  • Managerial Accounting
  • Budgeting
  • Payroll Process
  • Accounts Payable
• Billing and Collecting
  • Creating Fee Schedules
  • Participating Provider Agreements
  • Credit and Collections Policies
  • Managing Accounts Receivable
  • Processing Overpayments
• Health Insurance