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Medical Billing and Coding Program
Tuesday, June 15, 2010 – Thursday, September 2, 2010
6:00 PM – 9:30 PM
This combined 80 hour billing and coding course offers the skills needed to solve insurance billing problems, how to manually file claims (using the CPT and ICD-9 manual), complete common insurance forms, trace delinquent claims, appeal denied claims and use generic forms to streamline billing procedures. The course covers the following areas: CPT (Introduction, Guidelines, Evaluation and Management), specialty fields (such as surgery, radiology and laboratory), ICD-9 (Introduction and Guidelines) and basic claims processes for medical insurance and third party reimbursements. Students will learn how to find the service and codes using manuals, (CPT, ICD-9 and HCPCS).
After obtaining the practical work experience (6months to 2 years), students who complete this course could be qualified to sit for the American Academy of Professional Coders (AAPC) - Certified Professional Coder Exam (CPC or CPC-H Apprentice); the American Health Information Association (AHIMA) Certified Coding Associate (CCA) exam; and/or other National Certification Exams
- a career as an insurance coding specialist
- documentation guidelines and legal issues affecting insurance claims and medical records
- basics of health insurance and procedural coding
- introduction to CPT Manual
- evaluation and management services
- Anesthesia/Surgery, Radiology and Pathology/Laboratory Medicine
- Diagnosis Coding
- CPT Modifiers, E and V Codes and Late Effects
- Introduction to International Classification of Diseases, Clinical Modifications, Coding Guidelines
- The Health Insurance Claim Form (CMS 1500)
- HIPAA and Electronic Date Interchange (EDI)
- Tracing Delinquent Claims and Insurance Problem Solving
- Managed Care Systems and Special Plans & Third Party Reimbursement, Medicare, Blue Cross-and Blue Shield Plans, Medicaid and Other State Programs, CHAMUS and CHAMPVA, Worker’s Compensation, Disability Income Insurance and Disability Benefit Programs
- This entry level course does not require the use of a computer as the focus of a coding professional is the proper use of coding and the related coding manuals
Who Should Attend
Medical Billing and Coding is one of the fastest growing careers in the health care industry today!
The need for professionals that understand how to code health care services and procedures for third party insurance reimbursement is growing substantially. Physician practices, hospitals, pharmacies, long-term care facilities, chiropractic practices, physical therapy practices and other health care providers all depend on medical billing and coding for insurance carrier reimbursement.
People interested in becoming Medical Coders or pursuing national certification should have a high school diploma or GED equivalent. Also, Certain National Medical Coding Certification exams are very complex and may require 6 months to 2 years of suggested practical coding experience prior to taking the exam or being recognized as a certified medical coding professional.
Binghamton University Downtown Center
67 Washington Street
Binghamton, New York
(adjacent to the Holiday Inn Arena)
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