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Medical Coding and Medical Billing Online Training Course

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Course type: Online Instructor led Course

Platform: Instructor led Online Learning.

Course ID: 30288

Course type: Online Instructor led Course

Platform: Instructor led Online Learning.

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D Jetty

Graduate

About D Jetty

Over 14 years of work experience in medical coding, medical billing and transcription at various departments include production, training, proofing, consulting and others

A student benefits with 100 hours learning while empowering self with trainer's 14 years of knowledge and domain expertise.


Smart learners believe in learning from the experts unlike few who are lost with unsuccessful careers trying to compromise price against quality while experimenting with the subject.

D.J trained few hundreds of students in his most previous training sessions and almost about 98% of the students are employed and working and growing with designations and salary packages.

His comprehensive medical terminology combination course covers the medical language and terminology used by health care professionals everywhere.

Students interested in pursuing a health and science career requiring the ability to communicate with Physicians, Physician offices, Medical Professionals, Healthcare BPOs, KPOs, Insurance Jobs, etc. this course will meet all needs.

He will start with the very basics of medical terminology, reviewing word roots, prefixes, and suffixes that make up medical words. He will then move on to each body system where he will work on recognizing and defining their related medical terms. This comprehensive review of medical terminology will not only benefit those new to medical terms used in medicine today, but also act as a refresher for those already experienced in medical terminology.


In easy to review lessons, our course material will not only give you a solid foundation in medical language, but can be completed in less than 30 days! You will analyze individual word parts such as prefixes, suffixes and word roots, along with learning body system dynamics, basic medical language, body orientation, health, wellness, and disease terms. You will learn the basic components of medical terminology as it relates to each body system plus the instruments used in assessment will also be reviewed.

Students planning on pursuing a career in medical transcription, medical billing or medical coding, physician's secretary or medical support staff, or just need a review or extra tutoring for anatomy and physiology classes, or maybe want a jump start in the medical field before starting college; or perhaps just interested in learning the latest in medical language -- can begin today and utilize 14 years of knowledge and experience of the expert Trainer -- enroll right now!
After confirmation of enquiries into admissions students shall be equipped with
Internet connection
Computer / Laptop
Online classroom sessions would be scheduled and informed to the students with regular updation of timings
Soft copies and hard copies shall be provided as per the needs and comfort level of the student
Weekly tests and evaluations
Mock interview practice
and more
*Surprise extra bonus offers for early birds only.
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About the Course

Greetings from Prodigy Healthcare Solutions.


We value the opportunity to teach, train, and impart knowledge. Our primary directive is to cultivate a passion for excellence in Healthcare BPO Domain providing an unprecedented level of competency, cooperation, and support exceeding expectations. Our career training facility has faculty and staff of trustworthy reputations for results and excellence. Our instructors are qualified professionals with real-world skills that employers are seeking in our ever-growing healthcare market. Enter your new career with confidence.â??


Medical Coding





Medical coding is a more like translation. Medical Coders take reports from doctors, which includes patientâ??s condition, doctorâ??s diagnosis, prescriptions, procedures the doctor or healthcare provider performed on the patient, and turn that into a set of codes, which make up a essential part of the medical claim.


According to the Centers for Disease Control (CDC), there were over 1.2 billion patient visits in the past year. At a minimum even if there are 5 codes derived from each visit, this accounts to near about 6 billion individual pieces of data, which is an almost unrealistically low estimate, that needs to be transferred and interpreted for statistics and reimbursement each year.


Coding allows for uniform documentation between medical facilities. Having uniform data allows for efficient research and analysis, which government and health agencies use to review and analyze health trends much more efficiently.







Types Of Codes You Need To Know:











  • ICD (Classification of Diseases, or ICD codes )












  • CPT ( Current Procedure Terminology, or
    CPT codes )












  • HCPCS ( Healthcare Common Procedure Coding System )















ICD : International Classification of Diseases, or ICD codes


These are diagnostic codes that create a uniform vocabulary for describing the causes of injury, illness and death.


The code that is currently in use in the United States is ICD-10-CM. This means it is the tenth revision of the ICD code set, and â??-CMâ?? at the end stands for â??clinical modification.â?? The Clinical Modification significantly increases the number of codes for diagnoses.


This increased scope gives coders much more flexibility and specificity, which is essential for the profession. To better understand how important the clinical modification is, the ICD-10 code set has 14,000 codes. Its US model clinical modification, ICD-10-CM, contains over 68,000.


ICD codes are used to represent a doctorâ??s diagnosis and the patientâ??s condition. In the billing process, these codes are used to determine medical necessity. Coders must make sure the procedure they are billing for makes sense with the diagnosis given.




CPT: Current Procedure Terminology, or CPT codes


These codes are used to document the majority of the medical procedures performed in a physicianâ??s office. This code set is published and maintained by the American Medical Association (AMA). These codes are copyrighted by the AMA and are updated annually.


CPT codes are five-digit numeric codes that are divided into three categories. The first category is used most often, and it is divided into six ranges. These ranges correspond to six major medical fields: Evaluation and Management, Anesthesia, Surgery, Radiology, Pathology and Laboratory, and Medicine.


The second category of CPT codes corresponds to performance measurement and, in some cases, laboratory or radiology test results. These five-digit, alphanumeric codes are typically added to the end of a Category I CPT code with a hyphen. Category II codes are optional, and may not be used in the place of Category I codes.


The third category of CPT codes corresponds to emerging medical technology. As a coder, youâ??ll spend the vast majority of your time with the first two categories, though the first will undoubtedly be more common.


HCPCS: Healthcare Common Procedure Coding System


Healthcare Common Procedure Coding System (HCPCS), commonly pronounced as â??hick picks,â?? are a set of codes based on CPT codes. Developed by the CMS (the same organization that developed CPT), and maintained by the AMA, HCPCS codes primarily correspond to services, procedures, and equipment not covered by CPT codes. This includes durable medical equipment, prosthetics, ambulance rides, and certain drugs and medicines.


Medical Coding Vocabulary & Key Terms


There are a number of important terms you will want to familiarize yourself with as you learn more about coding. Let us look at some of these now.







  • Category (CPT)




  • Category (ICD)




  • Clinical Modification




  • CMS




  • CPT




  • Hcpcs




  • E-Codes












  • Evaluation And Management (CPT)




  • ICD




  • Modifier




  • Modifier Exempt (CPT)




  • NCHS




  • Pathology




  • Subcategory












  • Subclassification




  • Technical Component




  • V-Codes




  • Who




  • Z-Codes




  • Modifiers












  • Conventions)





    Brackets []


    Parenthesis ()


    Excludes


    Includes






    See


    See Also


    Code First


    Use Additional Code


    Medical Billing




    Medical billers act as the financial waypoint between patients, providers, and payers. Without billers, healthcare providers couldnâ??t be reimbursed for the procedures they perform. The training program covers the all concepts and guidelines that underpin the billing process. You will learn how the insurance process works, and what types of payers affect the reimbursement process. We will discuss Medicare, Medicaid, and the regulations enforced under the Health Insurance Portability and Accountability Act (HIPAA). Review the below course curriculum for further understanding on our training program.





    Chapter 1 : Introduction to Medical Billing










    • About Medical Billing



      The Basics Overview


      Gathering Data / Entering Data


      Paper Claims


      Electronic Claims


      Posting Payments


      Generating Reports


      Billing your clients













    • Types of Insurance Coverage



      Group Health


      Individual Policies


      Medicare


      Medicaid


      Personal Injury


      Workers Compensation


      Tricare













    • Procedures and Diagnoses




    • Insurance Claim Processing




    • Claim Payment




    • Report Generation




    • Resources




    • Study Guide, Examination










    Chapter 2 : Understanding Office Forms


    Chapter 3 : Understanding the CMS 1500 Form


    Chapter 4 : Understanding Codes


    Chapter 5 : Life cycle of an insurance claim


    Chapter 6 : Working with Billing / Practice Management Software


    Chapter 7 : Medical Billing / Practice Management Software Application


     


    Medical Terminology





    This comprehensive medical terminology combination course covers the medical language and terminology used by health care professionals everywhere.


    If you are interested in pursuing a health and science career requiring the ability to communicate with Physicians, Physician offices, Medical Professionals, Healthcare BPOs, KPOs, Insurance Jobs, etc. this course will meet all your needs.


    We will start with the very basics of medical terminology, reviewing word roots, prefixes, and suffixes that make up medical words. We will then move on to each body system where we will work on recognizing and defining their related medical terms. This comprehensive review of medical terminology will not only benefit those new to medical terms used in medicine today, but also act as a refresher for those already experienced in medical terminology.




     




    In easy to review lessons, our course material will not only give you a solid foundation in medical language, but can be completed in less than 30 days! You will analyze individual word parts such as prefixes, suffixes and word roots, along with learning body system dynamics, basic medical language, body orientation, health, wellness, and disease terms. You will learn the basic components of medical terminology as it relates to each body system plus the instruments used in assessment will also be reviewed.


    So if you are planning on pursuing a career in medical transcription, medical billing or medical coding, physician's secretary or medical support staff, or you just need a review or extra tutoring for your anatomy and physiology classes, or maybe you want a jump start in the medical field before starting college; or perhaps you are just interested in learning the latest in medical language -- you can begin today -- enroll right now!


    "Learn and recognize word roots, prefixes, and suffixes used in medical language today. Learn how to combine words to create meaningful medical conditions as well as comprehend their definition and know the correct spelling. In this medical terminology course, we will cover medical terms related to all major body systems mentioned below.


    Whether are new to the medical profession or you just need a refresher class, this medical terminology course is for you !










    • Basic Word Structure




    • Terms Pertaining to the Body as a Whole




    • Suffixes




    • Prefixes




    • Digestive System




    • Additional Suffixes and Digestive System Terminology




    • Urinary System










    • Female Reproductive System




    • Male Reproductive System




    • Nervous System




    • Cardiovascular System




    • Respiratory System




    • Blood System




    • Lymphatic and Immune Systems




    • Musculoskeletal System




    Bonus Add-ons




    Chapter 1. Understanding HIPAA






    • Introduction to HIPAA



      Health Insurance Portability


      Accountability


      Administrative Simplifications





    • Transaction and Code Set Standards




    • Unique Identifier Standards




    • Security and Electronic Signature Standards




    • Implementation Specifications




    • Administrative Safeguards




    • Physical Safeguards




    • Technical Safeguards




    • Privacy and Confidentiality



      Consumer Control


      Boundaries: Medical Records


      Security of PHI


      Accountability: Medical Records


      Public Responsibility





    • Consent and Authorizations




    • Marketing and fundraising




    • De-Identification




    • Business Associates




    • Penalties for non-compliance




    • Resources




    • Study Guide, Examination








    Chapter 2: Calculating Co-pays and deductibles







    • 100 problems and answer key











    Chapter 3: Understanding Workers Compensation






    • Introduction to Workers Compensation



      Medical Claims


      Temporary Disability


      Permanent Disability


      Vocational Rehabilitation


      Survivor benefits





    • Federal Work Com Overview / Claim Filling






    • Federal Work Com Overview / Claim Filling




    • State Work Comp Overview / Claim Filing




    • First Report of Injury




    • CMS 1500 Completion




    • Appeals and Adjudication




    • Fraud and Abuse




    • Successful Claim Filing tips




    • Glossary of Terms, Resources, Study Guide




    Job Duties : MB vs MC




    Comparison Medical Billing & Medical Coding


    Medical billers work primarily with patientâ??s data and insurance companies on claims submissions, and often perform more customer-service oriented tasks than coders. Medical coders generally work with healthcare professionals to accurately categorize the services and products provided to patients. The following tables detail the differing career tasks and trajectories of billers and coders.






































    Medical Billing Medical Coding
    Entering data with proprietary billing software Communicating with physicians, nurses, and other healthcare professionals to categorize the services a patient has received
    Submitting claims to insurance companies Applying CPT, HCPCS, and ICD-10 CM standardized codes to patient records to accurately reflect the services received
    Following up with patients, healthcare professionals, and insurance providers to make sure claims are paid for Entering data through Electronic Health Record (EHR) and Electronic Medical Record (EMR) software used in hospitals and physiciansâ?? offices
    Managing account payments and invoices Examining operative reports used during surgery to apply procedure codes
    Investigating rejected or denied claims Performing medical chart audits when a claim is denied
    Ensuring that physicians and patients receive reimbursements from insurers Remaining up-to-date with the latest revisions to coding standards and federal regulations
    Verifying the accuracy of standard healthcare codes used by medical coders to classify services and products Examining patient charts and histories to ensure coding accurately reflects a patientâ??s medical care









     





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