Medical Terminology
Module 1: 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.
Module 2: 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.
Module 3: 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.
Module 4: 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.
Module 5: 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.
Module 6: 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.
Module 7: 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.
Module 8: 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.
Module 9: 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.
Module 10: 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.
Module 11: 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.
Module 12: 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.
Module 13: 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.
Module 14: 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.
Module 15: 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.
Module 16: 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
Medical Coding
Module 1: 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
Module 2: Managed Healthcare
- Healthcare vs. Medical Care
- Evolution of Healthcare Reimbursement
- Medical Documentation
- EHR
- Managed Care
- Effects of Managed Care on Physician’s Practice
Module 3: Processing an Insurance Claim
- Insurance Claim
- New Patient vs. Established Patient
- Insurance Claims Lifecycle
- Organization and Maintenance of Insurance Claim Files
Module 4: 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
Module 5: Medical Coding Systems
- Introduction to Medical Coding
- ICD-9-CM Coding System
- CPT Coding System
- HCPCS Level II National Codes
Module 6: CMS Reimbursement Methodologies
- Evolution of CMS Reimbursement Systems
- CMS Payment Systems
- Chargemaster
- Revenue Cycle Management
- UB-04 Claim Form
Module 7: Coding for Medical Necessity
- Introduction to Coding for Medical Necessity
- Applying Coding Guidelines
- Medical Record Documentation
- Coding from Various Patient Reports
Module 8: Essential CMS-1500 Claim Instructions
- General Insurance Billing Guidelines
- Optical Scanning Guidelines
- CMS-1500 Claims Completion Instructions
- Common Errors that Delay Payment
- Processing Claims
Module 9: 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
Module 10: 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
Module 11: 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
Module 12: Medicaid
- Medicaid Eligibility
- Medicaid Covered Services
- Notes for Completing a Medicaid Billing Claim
- Claims Completion Instructions for Medicaid Claims
Module 13: TRICARE
- Evolution of TRICARE
- Administration of TRICARE
- Administration of CHAMPVA
- Notes for Completing a TRICARE Billing Claim
- TRICARE Claim Completion Instructions
Module 14: 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
Module 1: 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
Module 2: Communications in a Medical Office
- Verbal Communication
- Written Communication
- Composing Patient Letter
- Using Memo
- Policy for E-mail Exchange with Patient
- Nonverbal Communication
- Importance of Proper Communication in a Medical Office
Module 3: Legal and Ethical Issues in Managing a Medical Office
- Standard of Care for a Medical Office e
- Credentialing Documents Needed in a Personnel File
- Physician Malpractice
- Physician-Patient Relationship
- Medical Ethic
- Medical Treatment of Minor
Module 4: 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
Module 5: Managing the Front Office
- Telephone Etiquette
- Prioritizing Telephone Call
- Dealing with Difficult Caller
- Importance of Documenting Telephone Call
- Purpose and Function of Answering Service
- Maintaining the Reception Are
- Customer Service in the Front Office
Module 6: Appointment Scheduling
- Scheduling New Patient Appointments
- Importance of Appointment Time Management
- Appointment Schedule as a Legal Document
- Scheduling Hospital Services and Admissions
Module 7: Medical Records Management
- Purpose of a Medical Record
- Medical Record Formats
- Retaining and Disposing Medical Records
- Release of Information
Module 8: Regulatory Compliance in a Healthcare Setting
- Impact of HIPAA Legislation on Patient Car
- Function of HIPAA Business Associate Agreement
- Purpose of the Red Flags Rule
- Need for Corporate Compliance Plan
- Compliance with The Joint Commission, OSHA, and CLI
- Fraud and Abuse in Health car
- Impact of the Healthcare Reform Ac
Module 9: Duties of a Medical Office Manager
- Management vs. Supervision
- Responsibilities
- Leadership Style
- Ordering and Processing Medical Supplies
Module 10: Use of Computers in a Medical Office
- Basic Components of a Compute
- Maintaining Computer Equipment
- Computer Software in a Medical Office
- Ensuring Computer Security
- Electronic Medical Record
- Prescription Management Software
- Ergonomics in a Medical Office
Module 11: Office Policies and Procedures
- Personnel Manual
- Medical Office Policies
- Medical Office Procedure
Module 12: Accounting and Payroll in a Medical Office
- Managerial Accounting
- Budgeting
- Payroll Process
- Accounts Payable
Module 13: Billing and Collecting
- Creating Fee Schedule
- Participating Provider Agreement
- Credit and Collections Policies
- Managing Accounts Receivable
- Processing Overpayment
Module 14: Health Insurance
Medical Administrative Assistant
Module 1: 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
Module 2: Communications in a Medical Office
- Verbal Communication
- Written Communication
- Composing Patient Letter
- Using Memos Policy for E-mail Exchange with Patient
- Nonverbal Communication
- Importance of Proper Communication in a Medical Office
Module 3: Legal and Ethical Issues in Managing a Medical Office
- Standard of Care for a Medical Office
- Credentialing Documents Needed in a Personnel Fil
- Physician Malpractice
- Physician-Patient Relationship
- Medical Ethic
- Medical Treatment of Minor Module
4: Personnel Management
- Management Styles and Their Impact
- Hiring a New Employee
- Orientation and Training Plan
- Timeline for Conducting Employee Evaluation
- Disciplining and Terminating Employee
- Sexual Harassment in the Workplace
Module 5: Managing the Front Office
- Telephone Etiquette
- Prioritizing Telephone Call
- Dealing with Difficult Caller
- Importance of Documenting Telephone Call
- Purpose and Function of Answering Service
- Maintaining the Reception Are
- Customer Service in the Front Office Module
6: Appointment Scheduling
- Scheduling New Patient Appointment
- Importance of Appointment Time Management
- Appointment Schedule as a Legal Document
- Scheduling Hospital Services and Admission
Module 7: Medical Records Management
- Purpose of a Medical Record
- Medical Record Format
- Retaining and Disposing Medical Record
- Release of Information
Module 8: 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
Module 9: Duties of a Medical Office Manager
- Management vs. Supervision
- Responsibilities
- Leadership Styles
- Ordering and Processing Medical Supplies
Module 10: 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
Module 11: Office Policies and Procedures
- Personnel Manual
- Medical Office Policies
- Medical Office Procedures
Module 12: Accounting and Payroll in a Medical Office
- Managerial Accounting
- Budgeting
- Payroll Process
- Accounts Payable
Module 13: Billing and Collecting
- Creating Fee Schedules
- Participating Provider Agreements
- Credit and Collections Policies
- Managing Accounts Receivable
- Processing Overpayments
Module 14: Health Insurance
- Introduction to Health Insurance
- Health Insurance Terminology
- Health Insurance Plans
- Medicare Coverage
- Medicaid for Medical Care
- Processing Insurance Claims
- Reconciling Payments and Rejections
Module 15: Procedural and Diagnostic Coding
- CPT Coding
- Procedure Coding
- Using Evaluation and Management Codes
- Using Surgery Codes
- Using Anesthesia, Radiology and Medicine Codes
- HCPCS
- Diagnosis Coding using ICD-9-CM
Module 16: Quality Improvement and Risk Management
- Issues for Quality Improvement Review
- Common Risk Management Issues
- Managing Employee Safety
