Medical Billing-Coding Combo Syllabus

TIME FOR COMPLETION
650 hours (360 instruction, 290 laboratory/practicum)

MEDICAL TERMINOLOGY I – LANGUAGE ORIGINS AND ADAPTATIONS
(75 hrs – 65 instruction, 10 laboratory/practicum)

• Etymology
• Grammar, Spelling & Punctuation
• Medical Words

MEDICAL TERMINOLOGY II – DYNAMICS OF MEDICAL VOCABULARY AND WORD STRUCTURE
(75 hrs – 65 instruction, 10 laboratory/practicum)

• Word Dynamics
• Body Dynamics
• Medical Instruments & Equipment
• Medical Specialties & Specialists
• Diagnostic Medicine
• Abbreviations
• Anatomy and Physiology
• Diagnostic Medicine
• Abbreviations
• Anatomy and Physiology
• Pharmacology
• Drug listing – generic alpha, name brand cross-reference, plus 200 of the most commonly prescribed drugs.

MEDICAL CODING THEORY
(70 hrs – 70 instruction, 0 laboratory/practicum)

• Industry History and the Codes
• The Coder
• ICD Coding
• CPT Coding
• Specialty Coding
• Liability and Legal Issues
• Summary

CODING PRACTICUM 1: APPLIED CODING
(100 hrs – 0 instruction, 100 laboratory/practicum)

• 300 basic medical charts to code
• Answer key included; shows the rationale for the coding on each chart once the learner completes the coding for a given chart.

CODING PRACTICUM 1: SPECIALTY CODING
(100 hrs – 0 instruction, 100 laboratory/practicum)

• 300 specialty medical charts to code
• Answer key included; shows the rationale for the coding on each chart once the learner completes the coding for a given chart.

MEDICAL BILLING I
(75 hrs – 40 instruction, 35 laboratory/practicum)

• Health Care History & Overview
• Terminology
• Provider Structure & Protocols
• Hospital Billing
• Family Relationships
• Billing the Encounter
• Practice Economics

MEDICAL BILLING II
(75 hrs – 40 instruction, 35 laboratory/practicum)

• Collections
• Coding
• Profiles
• Medicaid & Medicare
• Legal Issues
• Certification

HEALTH INSURANCE SPECIALIST
(80 hrs – 80 instruction, 0 laboratory/practicum)

• Health Insurance Specialist Job Description & Knowledge
• Medical Care Reimbursement
• Health Organizations (MCO)
• Insurance Claims
• Payer Processing
• Laws, Rules, and Regulations
• Private Insurers
• Medicare
• Medicaid
• TriCare
• Worker’s Compensation
• Score Summary and Final Assignment
• Appendix and Glossary (all insurance form samples and instructions)

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