Course Description

The Course starts with a guidance to learn on line. It then gives an overview of the Allied Health professions and the different levels of certifications available, which enhance their employment chances with good benefits. The course develops the student’s vocabulary of medical terminology of human Anatomy, Physiology and Pathology along with various types of disease and diagnoses. It also covers different investigations and medical/surgical procedures available for the treatment. Covering various types of services provided by different health care providers in various settings. The course also provides an understanding of HIPAA, HITECH, and other related laws and regulations governing this profession along with an understanding of different Government and private organizations involved with health care providers to support, supervise, and reimburse their fair remunerations. Keeping an emphasis on strong professional ethics essential for a successful career. The course also gives an overview of the fraud and abuse of various health care programs provided for the Poor, Women, Children, Elderly and handicapped. Including Medicare, Medicaid other insurance plans. Before getting into the nuts and bolts of the process of Coding and Billing and Claim Submission. It covers in depth the ICD-10-CM/PCS CPT and HCPCS. Students not only learn the fundamentals of medical billing and coding but also get training through practice. Finally preparing students to take the Certified Billing and Coding Specialist (BCSC) exam from the National Health Career Association, However this will also prepare the students to take the following exams after additional practice.   Certified Professional Coder (CPC®) exam from the American Academy of Professional Coders (AAPC), and Certified Coding Associate (CCA®) exam from the American Health Information Management Association (AHIMA). *AAOL covers the cost of the BCSC exam within the tuition. Candidates for the CBCS must be Science graduates. Additional requirements such as membership and applications can be found with each certifying agency. BCSCCPC®CCA®

Course Objectives

Medical Billing and Coding prep course, will enable the students to
  1. Understand the responsibilities of a medical biller/coder, ethics required in this profession.
  2. Explore and avail opportunities available to trained and certified personnel
  3. Builds a vocabulary of medical terminology and accurately use it to describe human anatomy, physiology and pathology of body systems
  4. Understand the purpose and impact of the Health Care Portability and Accountability Act (HIPAA) and learn how change in laws and regulations affect professional working.
  5. Compare and contrast the major types of commercial and government insurance health plans, including Medicare, Medicaid, Health Maintenance Organization (HMO), Preferred Provider Organization (PPO), and Point-of-Service (POS) plans
  6. Understand billing guidelines for inpatient medical, inpatient/outpatient, medical/surgical, and minor surgical procedures
  7. Explain the life cycle of a typical insurance claim, the processing steps that must be completed before the submission to the insurance company.
  8. Explain the purpose of medical coding and how to code diagnoses and procedures, accurately. Using industry-standard coding systems published by the World Health Organization (WHO) and the American Medical Association (AMA)
  9. Accurately use ICD-10-CM/PCS, CPT, and HCPCS codes for diagnoses, procedures, and medical services as part of the insurance reimbursement process