What you'll learn
An Introduction to Healthcare
Law, Ethics & Confidentiality in Healthcare
Medical Office Procedures
Medical Terminology
Health Insurance & Billing
Body Systems
Pathology & Pharmacology
Basic CPT Coding
Basic ICD 10-11 Coding
Basic HCPCS Coding
FINAL EXAM
Requirements
You MUST have a high school diploma or equivalent and be computer literate
You MUST have a laptop and internet
Description
This course was designed for anyone wanting to enter into the career of Medical Billing & Coding. This course was specially designed by Mrs. Antonia Rich-Shuron who has over 20 years of experience in this industry. She designed this course for those who have no experience and want to get started TODAY. This course will provide you with all of the information and tools you will need to succeed in this industry. She has taken a lot of time and research to build this training so that not only will you be interview ready but exam ready to be CERTIFIED through AMCA. Through AMCA the Certification is called MCBC. This is a Billing & Coding Certification so you would be certified in both roles. You don't have to get Certified, but it's highly recommended. Some employers won't give you a chance without a certification, so that's why it's recommended. Medical Billing & Coding is a big industry and it's growing so job search shouldn't be an issue. Healthcare will always be around because it's always needed so billers will always be needed.You may land a position from home or a contract of your own and start your own business. It starts with 1 client and referrals. You can become very successful in this industry and the salaries can be very rewarding.
Overview
Section 1: Introduction
Lecture 1 Introduction
Lecture 2 Is Medical Billing Right For You?
Lecture 3 Medical Billing Vs Coding
Section 2: Professionalism in Healthcare
Lecture 4 Presenting Yourself in a Professional Manner
Lecture 5 Career Success
Lecture 6 Workplace Etiquette
Lecture 7 Effective Communication Skills in the Workplace
Lecture 8 Resolving Workplace Conflict
Lecture 9 Time Management
Lecture 10 Ethical Dilemmas
Lecture 11 Conclusion
Section 3: Protected Health Information or PHI
Lecture 12 Key Terms
Lecture 13 HIPAA HITECH Act
Lecture 14 EMR vs EHR
Lecture 15 HIPAA 101
Lecture 16 14 HIPAA Tips for Working Remotely
Lecture 17 Privacy & Confidentiality
Lecture 18 Informed Consent
Lecture 19 What is Phishing Scams?
Lecture 20 Cybersecurity in Healthcare
Section 4: Patient Visit or ENCOUNTER
Lecture 21 Section Intro & Objectives
Lecture 22 Encounter Key Terms
Lecture 23 What is an Encounter Form?
Lecture 24 Administrative Tips
Lecture 25 6 Front Desk Tips
Lecture 26 Scheduling a New Patient
Lecture 27 Deductibles, CoInsurance & CoPays
Lecture 28 What is a Referral?
Lecture 29 Insurance Eligibility
Lecture 30 Submitting A PA-Prior Auth-Prior Authorization
Lecture 31 Scenario Lesson - Collecting Payments
Lecture 32 Medical Records Release Form
Lecture 33 Notice of Privacy Practices Form
Lecture 34 ABN-Advanced Beneficiary Notice for Medicare
Lecture 35 Assignment of Benefits or AOB
Lecture 36 The Encounter Conclusion
Section 5: The Revenue Cycyle
Lecture 37 The 10 Steps of the Revenue Cycle
Lecture 38 The Revenue Cycle Key Terms
Lecture 39 Skill Lesson
Lecture 40 Patient Registration Demonstration
Lecture 41 Skill Lesson - TOS + Insurance Math
Lecture 42 Insurance Math
Section 6: Health Insurance Payers & Other Compensation Plans
Lecture 43 What is Group Health Insurance?
Lecture 44 What is a Self Funded Health Plan?
Lecture 45 What is COBRA?
Lecture 46 What is TPA or a Third Party Administrator?
Lecture 47 What is a PPO Plan?
Lecture 48 What is a HMO Plan?
Lecture 49 What is a POS or Point of Service Plan?
Lecture 50 Whar is Fee For Service or FFS?
Lecture 51 What is a CDHP or Consumer Driven Health Plan?
Lecture 52 What is a HDHP or High Deductible Health Plan?
Lecture 53 What is a HRA or Health Relationship Agreement?
Lecture 54 What is an EPO Plan?
Lecture 55 What is Workers Compensation?
Lecture 56 What is Tricare?
Lecture 57 What is Medicare?
Lecture 58 What is an ACO?
Section 7: The Health Insurance Claim
Lecture 59 The Journey of a Medical Claim
Lecture 60 Key Terms
Lecture 61 HCFA 1500 Form Lesson
Lecture 62 837 Electronic Claims
Lecture 63 Completing a UB04
Lecture 64 How to read a Remittance Advice/RA
Lecture 65 Claim Denial vs Rejection
Lecture 66 What is Adjudication?
Lecture 67 What is Claim Scrubbing?
Lecture 68 How to Post an ERA in a EHR
Lecture 69 Manual Payment Posting
Lecture 70 Common Claim Denial Reasons
Lecture 71 Clearinghouse Rejections
Lecture 72 Rejections from Payers
Lecture 73 COB _ Medicare Crossover
Lecture 74 Fee Schedules
Lecture 75 Generating Patient Statements
Lecture 76 Appeal Letters
Lecture 77 Claim Reconsideration
Lecture 78 AR Follow up Mock Call
Lecture 79 How to Read an AR Report
Section 8: Medical Terminology
Lecture 80 Lesson Objectives
Lecture 81 Intro to Medical Terminology
Lecture 82 Analyzing & Building Medical Terms
Lecture 83 Review of Word Parts & Roots
Lecture 84 Suffixes
Lecture 85 Review of Suffixes
Lecture 86 min
This course is for those wanting to become a Medical Biller & or Medical Coder,We provide you with all of the information, resources and tools you will need to become certified and successful in this industry,*Exam fees, books and any membership dues would be the responsibility of the student**
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