Medical Billing Syllabus

TIME FOR COMPLETION
305 hours (225 instruction, 80 laboratory/practicum)

BASIC MEDICAL TERMINOLOGY
(75 hrs – 65 instruction, 10 laboratory/practicum)

  • Etymology
  • Grammar, Spelling & Punctuation
  • Medical Words
  • Word Dynamics
  • Body Dynamics
  • Medical Instruments & Equipment
  • Medical Specialties & Specialists
  • Diagnostic Medicine
  • Abbreviations
  • Anatomy and Physiology
  • Diagnostic Medicine
  • Abbreviations
  • Anatomy and Physiology
  • Pharmacology

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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