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Medical Billing and Coding Course Outline

Course Title:
Medical Billing and Coding

Total Hours:
700 Clock Hours

Total Weeks:
Day Program 28 Weeks
Evening Program 50 Weeks

Objective:
Educational Objectives: Educational Objectives: This program is designed to provide individuals with the basic knowledge and competencies necessary to (i) abstract and code patient diagnoses and procedures; (ii) prepare, submit, and/or process medical insurance claims in a myriad of environments related to health care and insurance industries. Such environments could include physicians’ offices, hospitals, extended care facilities, diagnostic centers and insurance companies.

Course Schedule:

 
  •    Medical Terminology   60 Hours
  •    Anatomy and Physiology I   60 Hours
  •    Anatomy and Physiology II   60 Hours
  •   Patient Provider Communications   30 Hours
  •   Medical Emergencies & Disaster Response   30 Hours
  •   Medical Office Management   30 Hours
  •   Medisoft   30 Hours
  •   Electronic Health Records   30 Hours
  •    Medical Coding / Billing   60 Hours
  •   Medical Law & Ethics   25 Hours
  •   Introduction to Computers   30 Hours
  •    MS - Word   30 Hours
  •    MS - Excel   30 Hours
  •    Keyboarding / Computer Lab   35 Hours
  •   Business Skills   30 Hours
  •    Professional Development   30 Hours
  •    Externship   100 Hours

Total Hours: 700 Hours

 

Curriculum Schedule

 
MEDICAL TERMINOLOGY I (30 hours)

This course provides students with the foundations of understanding the medical terms used in healthcare. This course emphasis is on the general rules for building medical terms from word roots, combining forms, prefixes and suffixes. The course will introduce students to the terminology used in medical records and the different medical specialties. Reinforcement of knowledge will be is accomplished via emphases of the word building, analysis of parts of the word, abbreviations, spelling, and correct pronunciation of various body systems including the musculoskeletal, cardiovascular, respiratory, and digestive system.

MEDICAL TERMINOLOGY II (30 hours)

Students continue to develop their understanding of the medical terms that are used to describe structural and functional components of various body systems. Students continue to practice on combining word parts (prefixes, suffixes, and combining forms) to create full medical terms referring to lymphatic, urinary, nervous, endocrine, and reproductive systems as well as special senses.

ANATOMY AND PHYSIOLOGY I (60 hours)

Anatomy and Physiology I is an introduction to the basic principles of human anatomy and physiology that emphasizes homeostatic mechanisms of the various body systems. Among the topics considered are the basic plan of the body, cells, tissues, the skeletal system, the muscular system, cardiovascular, digestive system, and the respiratory system. Lectures are supplemented by reading and/or writing assignments and discussions.

ANATOMY AND PHYSIOLOGY II (60 hours)

Anatomy and Physiology II continues the study of human anatomy and physiology. Among the topics considered are the lymphatic, urinary system, the nervous system, the endocrine system and the reproductive system. Lectures are supplemented by writing assignments and discussions.

PATIENT PROVIDER COMMUNICATION (30 hours)

This course provides student with efficient and practical means to achieve cultural and linguistic competence inside and outside of classroom. The emphasis will be on how to avoid stereotypes. The course will provide students with the foundations of patient interviewing technique such as the questions to ask in order to develop a profile of individual health, illness and illness prevention beliefs and practices. This course will also provide students with knowledge on how to handle cultural differences and the best practices to improve the cross-cultural relationship between caregivers and patients. This course examines principles and methods to cultivate patient relations, provide beneficial support, reduce anxiety and improve customer satisfaction.

MEDICAL EMERGENCIES AND DISASTER RESPONSE (30 hours)

This course addresses employee and patient safety concerns in the healthcare environment. Students will learn how to apply quality control measures in following health and safety policies and procedures to prevent illness and injury. First aid training, medial office emergencies, CPR, OSHA, MSDS, and personal protective equipment are among topics taught and practiced. Students must obtain BLS for Healthcare Provider certification through the American Heart Association. Students will also learn how to identify the critical elements of an emergency plan for response to a natural disaster or other emergency and discuss the potential role(s) of the medical assistant in emergency preparedness.

MEDICAL OFFICE MANAGEMENT (30 hours)

This course provides an introduction to the Medical Assistant profession. The emphasis is on efficient procedures and administration of the professional office. This course examines principles of financial and practice management and administrative medical assisting common to healthcare settings. Topics include communication and interpersonal relations; patient reception, telephone techniques, patient scheduling, finances, and management of practice education. An emphasis on professionalism and patient relations also is addressed.

MEDISOFT (30 hours)

This course introduces students to the use of computers in today's health care office environment. Students focus on the preparation and accurate processing of various medical documents found in the computerized medical office, such as electronic Medicare claims, and medical software to do accounts receivable and insurance bill.

ELECTRONIC HEALTH RECORDS (30 hours)

Electronic Health Records discusses the rapidly changing technology in the health care environment. The course will introduce the basic functions of the Electronic Health Record, its benefit to the students as healthcare workers and the benefit to physicians and patients. The course will explore the technological requirement for an Electronic Health Record system and discuss some of the available options. The course will also introduce the best practices for transition from a paper based record to an Electronic Health Record. It also discusses the current Health Information technology standards as well as the rules and regulations that govern the Electronic Health Record Software.

MEDICAL CODING AND BILLING (60 hours)

This course introduces students to coding, which is an essential part of insurance filing. Students will learn the codes for diagnoses (1CD-10) procedures (CPT) and the special codes for Medicare/Medicaid (HCPS/CMS). Students will also learn to complete insurance claim forms with the proper CPT and ICD-10 codes.

MEDICAL LAW AND ETHICS (25 hours)

This course explores legal and ethical issues in healthcare delivery. Students will review and discuss the legal scope of practice for medical assistants related to professional liability, informed consent, medical documentation, and confidentiality. Emphasis will be to provide students with fundamental cognitive knowledge to perform the psychomotor and affective domains in their practice as medical assistants and provide patient care in accordance with regulations, policies, laws and patient rights. Ethical discussions will focus amongst others on concepts relating to patient safety, therapeutic communication, and evidence based care and how negligence, malpractice, Statue of Limitations and Good Samaritan Act impact the medical assistants practice.

INTRODUCTION TO COMPUTERS (30 hours)

This course provides students with an introduction to the computer, as students discover its operation, capabilities, and limitations. Students are taught key terms, system hardware, and will complete lab exercises designed to provide the practical skills used in a variety of software applications.

MS-WORD (30 hours)

Students learn to create, edit, print, and enhance documents from the simplest letter to the most complex manuscript. It will also cover advanced formatting techniques, how to use tables and graphs, and the creation of styles and templates. You will learn how to automate your work, create columns, and use drawing tools.

MS – EXCEL (30 hours)

Students learn the basic concepts needed to run fully integrated spreadsheet software programs, to create and calculate with formulas, use charts, and create / print reports.

KEYBOARDING (35 hours)

Proper keyboarding techniques and principles are developed to maintain a high level of accuracy while building speed. After achieving proficiency in skill building, students progress to formatting activities which include business letters, tabulated reports and multi-page manuscripts.

BUSINESS SKILLS (30 hours)

Review the fundamentals of addition, subtraction, multiplication, division, fractions, decimals, percents, interest, payroll math and measurement through practice with computations involving whole numbers, decimals, fractions and percents. Presentation and Communication Skills will also be covered.

PROFESSIONAL DEVELOPMENT (30 hours)

This course examines professional requirements, certification opportunities, and successful career traits for healthcare and business professionals. Topics include resume preparation and interviewing techniques. This course is designed to increase the student’s success in his/her professional and personal life through discussions and activities that promote achievement of career skills. This course will also familiarize students with the rules and guidelines that need to follow for successful externship training. Includes instruction on externship training and the paperwork that needs to be completed.

EXTERNSHIP (100 hours)

The Externship program is intended to provide students with real-world exposure to the health care field. The School will assist students with placement in a health-related office where they will perform the required duties and responsibilities under the supervision of a health care professional. Common externship positions include medical biller, medical coder, medical receptionist or secretary.