MEDICAL BILLING AND CODING CERTIFICATE

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1 Sonoran Desert Institute School of Arts and Sciences Academy of Medical Professions 8767 E. Via De Ventura, Suite 126 Scottsdale AZ Phone: (480) or Toll Free Fax: (480) General Inquiries: Student Name: Start & End Dates: / / to / / Course Code: SDIMBC Program Duration: 9 Months Student Tuition: $3,895 MEDICAL BILLING AND CODING CERTIFICATE As a Medical Biller/Coder you are responsible for reviewing the documentation the physicians have provided and assigning the correct diagnosis and procedure codes, entering the necessary information into the patient s account and submitting the claims to the Insurance Companies. You are then responsible for tracking and receiving payment from the Insurance Companies and billing the patient when necessary. You will also be responsible for reviewing any denials and researching to make sure that the claim was submitted correctly the first time. If any necessary changes can be made, you are responsible for making the changes and following up with the Insurance Companies. Basic computer knowledge is a must. Many offices use the Internet and are willing to provide you with their billing programs to install on your home computer allowing you to work from home. Medical Billers and Coders are in high demand. Most offices and hospitals find it very difficult to find Medical Billers and Coders and when they do, are willing to provide great pay and benefits. If you chose to work in the office or hospital, flexible schedules are also possible and they tend to be very accommodating. As well as working in physician s offices and hospitals, you can choose to work for Medical Billing Companies, Ambulance Companies and Nursing Homes. If you complete the course with a satisfactory grade, you will receive a Certificate of Completion from both Medical Billing and Coding as well as a certificate for Anatomy/Physiology and

2 Medical Terminology. In addition, you will receive a Letter of Recommendation, a list of companies in the field with addresses and phone numbers, and we would be happy to provide a personal reference for you. Should you decide to take the CPC exam at the end of the course, you will receive a national certificate and a title of CPC-A. Our instructors are professionals in the industry and can offer you the benefit of their knowledge and experience. The Job Outlook Employment of health information technicians is projected to grow 22 percent from 2012 to 2022, much faster than the average for all occupations. Medical Billers and Coders are in high demand. Most offices and hospitals find it very difficult to find Medical Billers and Coders and when they do, are willing to provide great pay and benefits. If you chose to work in the office or hospital, flexible schedules are also possible and they tend to be very accommodating. As well as working in physician s offices and hospitals, you can choose to work for Medical Billing Companies, Ambulance Companies and Nursing Homes. Prerequisites: None HSA Medical Terminology HSA Anatomy and Physiology HSA Medical Billing: Part I HSC Medical Coding: Part I HSC Medical Coding: Part II Medical Terminology and Anatomy for Coding Modules: Medical Terminology and Anatomy for ICD-10 Coding helps you prepare to code accurately and effectively using the ICD-10-CM/PCS code set with a complete understanding of relevant medical terminology and anatomy. Coding certified (CCS, CPC) and approved AHIMA ICD-10- CM/PCS Academy Trainer Betsy Shiland makes unfamiliar medical language more approachable, and carefully sequenced medical terminology lessons help you understand the vastly increased anatomy necessary for accurate coding, including the locations of hundreds of arteries, muscles, nerves, and other anatomy. This unique resource also includes engaging inbook exercises and interactive online resources, giving you the review and practice you need to reinforce your comprehension and confidently prepare for the coding workforce. Log into your learning portal, where your tests will be taken, video lectures may be viewed, and extra exercises can be done. Lectures are always found under the chapters in which you are studying and the book in which you are using as well as. Always start with video lectures first. Introduction to Healthcare Terminology

3 Body Structure and Directional Terminology Musculoskeletal System and Connective Tissue Skin and Subcutaneous Tissue Digestive System Genitourinary System Pregnancy, Childbirth, and the Puerperium Blood, Blood-Forming Organs, and the Immune Mechanism Circulatory System Respiratory System Nervous System Mental and Behavioral Disorders Eye and Adnexa Ear and Mastoid Process Endocrine System and Nutritional and Metabolic Diseases Medical Billing and Coding Modules: Log into your learning portal, where your tests will be taken, video lectures may be viewed, and extra exercises can be done. Lectures are always found under the chapters in which you are studying and the book in which you are using as well as. Always start with video lectures first. Module 1 Reading Assignment: Adams Chapter 5 Understanding Insurance Policies Adams Chapter 6 Medicare & Medicaid Textbook Assignments: All Exercises Chapters 5, & 6 Chapter 5, 6, Adams exam Module 2 Reading Assignment: Adams Book Chapter 1 Diagnostic Coding: ICD 9 Textbook Assignment: Adams Chapter 1 exercises Chapter 1 Adams Exam Module 3 Reading Assignment: Adams Book Chapter 3 Service & Procedural Coding: (CPT) Chapter 4 HCPCS Coding System Textbook Assignment: Adams Chapter 3 and 4 exercises Chapter 3 and 4 Adams Exam Module 4

4 Reading Assignment Adams Chapter 7 Insurance Claim Forms Adams Chapter 8 Accounts Receivables Textbook Assignments: All Exercises Chapters 7 & 8 Chapter 7 & 8 Adams exam Module 5 Reading Assignment: Adams Chapter 9 Legal Issues Adams Chapter 10 Putting It all Together Textbook Assignments: All Exercises in Chapters 8, 9 & 10 Chapter 8, 9, 10 Adams exam Module 6 -We start using the Buck Step by Step books- Reading Assignment: Chapter 1 Reimbursement, HIPAA & Compliance Textbook Assignments: All Exercises & Chapter Review for Chapter 1 Workbook Assignments: All Theory, Practical & Report exercises in Chapter 1 Chapter 1 Exam (We will not be covering ICD-10, Chapters 3 through 7 it will not be on the National CPC Exam) Module 7 Reading Assignment: Chapter 8 An Overview of the ICD-9-CM Textbook Assignments: All Exercises & Chapter Review in Chapter 8 Workbook Assignments: All Theory, Practical & Report exercises in Chapter 8 Chapter 8 Exam Module 8 Reading Assignment: Buck Chapter 2 An Overview of ICD-10-CM Adams Chapter 2 An Overview of ICD-10-CM Textbook Assignments: All Exercises & Chapter Review in Chapter 2 Buck book (This is the only chapter you will need to look up the ICD-10 codes using the GEM files as instructed.) Workbook Assignments: All Theory, Practical & Report exercises in Chapter 2 Chapter 2 Exams s on Evolve for Buck and Adams Module 9 Reading Assignment: Chapter 9 Outpatient Coding & Reporting Guidelines Chapter 10 Using the ICD-9-CM

5 Workbook Assignment: All Theory, Practical & Report exercises in Chapters 9 & 10 Chapter 9 & 10 Exam Module 10 Reading Assignment: Chapter 11 Chapter-Specific Guidelines (ICD-9-CM Ch. 1-8) Textbook Assignments: All Exercises & Chapter Review in Chapter 11 Workbook Assignments: All Theory, Practical & Report exercises in Chapter 11 Chapter 11 Exam Module 11 Reading Assignment: Chapter 12 Chapter-Specific Guidelines (ICD-9-CM Ch. 9-17) Textbook Assignments: All Exercises & Chapter Review in Chapters 12 Workbook Assignments: All Theory, Practical & Report exercises in Chapters 12 Chapter 12 Exam Module 12 Reading Assignment: Chapter 13 Introduction to the CPT & Level II National Codes (HCPCS) Chapter 14 Modifiers Textbook Assignments: All Exercises & Chapter Review in Chapters 13 & 14 Workbook Assignments: All Theory, Practical & Report exercises in Chapters 13 & 14 Chapters 13 & 14 Exam Module 13 Reading Assignment: Chapter 15 Evaluation & Management (E/M) Services Textbook Assignments: All Exercises & Chapter Review in Chapter 15 Workbook Assignments: All Theory, Practical & Report exercises in Chapter 15 Chapter 15 Exam Module 14 Reading Assignments: Chapter 16 Anesthesia Chapter 17 Surgery Guidelines & General Surgery Textbook Assignments: All Exercises & Chapter Review in Chapters 16 & 17 Workbook Assignments: All Theory, Practical & Report exercises in Chapters 16 & 17 Chapter 16 & 17 Exam Module 15 Reading Assignment: Chapter 18 Integumentary System Chapter 19 Musculoskeletal Textbook Assignments: All Exercises & Chapter Review in Chapters 18 & 19 Workbook Assignments: All Theory, Practical & Report exercises in Chapters 18 & 19 Chapter 18 & 19 Exam

6 Module 16 Reading Assignments: Chapter 20 Respiratory System Chapter 21 Cardiovascular System Textbook Assignments: All Exercises & Chapter Review in Chapters 20 & 21 Workbook Assignments: All Theory, Practical & Report exercises in Chapters 20 & 21 Chapter 20 & 21 Exam Module 17 Reading Assignment: Chapter 22 Hemic, Lymphatic, Mediastinum & Diaphragm Chapter 23 Digestive System Textbook Assignments: All Exercises & Chapter Review in Chapters 22 & 23 Workbook Assignments: All Theory, Practical & Report exercises in Chapters 22 & 23 Chapter 22 & 23 Exam Module 18 Reading Assignment: Chapter 24 Urinary & Male Genital Systems Chapter 25 Reproductive, Intersex Surgery, Female Genital System, & Maternity Care & Delivery Textbook Assignments: All Exercises & Chapter Review in Chapters 24 & 25 Workbook Assignments: All Theory, Practical & Report exercises in Chapters 24 & 25 Chapter 24 & 25 Exam Module 19 Reading Assignment: Chapter 26 Endocrine & Nervous System Chapter 27 Eye, Ocular Adnexa, Auditory & Operating Microscope Textbook Assignments: All Exercises & Chapter Review in Chapters 26 & 27 Workbook Assignments: All Theory, Practical & Report exercises in Chapters 26 & 27 Chapter 26 & 27 Exam Module 20 Reading Assignment: Chapter 28 Radiology Chapter 29 Pathology/Laboratory Textbook Assignments: All Exercises & Chapter Review in Chapters 28 & 29 Workbook Assignments: All Theory, Practical & Report exercises in Chapters 28 & 29 Chapter 28 & 29 Exam Module 21 Reading Assignment: Chapter 30 Medicine Chapter 31 Inpatient Coding Textbook Assignments: All Exercises & Chapter Review in Chapters 30 & 31 Workbook Assignments: All Theory, Practical & Report exercises in Chapters 30 & 31 Chapter 30 & 31 Exam

7 Module 22 You will find this exam on Evolve under the Exam Review tab. The answers are in the back of the book to check them. Module 23 You will take this online. You take CPC Pre-Exam (allow Yourself 5 ½ hours to take the Pre-Exam) Contact your instructor and let them know your score Then start Review Unit I Anatomy, Terminology & Pathophysiology Complete all subsection Exams for Unit I in book. Review Unit II Reimbursement Issues & take the Reimbursement Exam in the book. Review Unit III Overview of the CPT, ICD-9-CM & HCPCS Coding Module 24 Complete all subsection Exams for Unit III in book Take the Post-Examination online. Allow yourself 5 ½ hours to take the test. Contact your instructor with your score. Attend the review class and complete any preparation for the Final exam. Module 25 This class will most likely be scheduled on a Saturday to allow the 5 ½ hours needed to take the final exam. CPC Coding Exam CPC Exam preparation, strategies, techniques. Question & Answer Period FINAL EXAM NOTE: Some chapters may take more time than others. There may be a week where only one chapter is covered due to the amount of material being covered. Take your time and understand the material before moving on. There will be other weeks where you will catch up with shorter chapters being reviewed. Remember your instructor is there to answer questions for you, don t hesitate to contact them.

8 Materials required: Medical Terminology & Anatomy/Physiology for Coders Step-By-Step Medical Coding Textbook Step-By-Step Medical Coding Workbook ICD-10-CM Diagnostic Code Book * HCPCS Level II CPT Procedural Book CPC Coding Exam Review, 3 practice CPC exams National boards exam fees and registration. ADMISSIONS POLICY The programs offered at Sonoran Desert Institute are postsecondary in nature and require, at minimum, that all applicants have a High School Diploma, GED, or recognized equivalent. A student not possessing this prerequisite may petition the Institute s administration for admission under special circumstances. SDI learning materials are written in English. It is the Institute s policy to enroll a student who is able to read, write, and speak English. A student who successfully goes through the enrollment process will be deemed to have the required proficiency in the English language. Additional admissions requirements may be present in specialized programs of study. In such circumstances, these criteria will be clearly disclosed in the program materials. Enrollment at SDI is continuous. Learning materials are shipped to the student once an enrollment agreement is accepted by SDI and payment for tuition/fees is received by the Institute. Applicants must submit the following: Application for admission, including student signature on the Enrollment Agreement

MEDICAL OFFICE SPECIALIST CERTIFICATE

MEDICAL OFFICE SPECIALIST CERTIFICATE Sonoran Desert Institute School of Arts and Sciences Academy of Medical Professions 8767 E. Via De Ventura, Suite 126 Scottsdale AZ 85258-3376 Phone: (480) 314-2102 or Toll Free 1-800-336-8939 Fax: (480)

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