Medical Billing & Coding

Transcription

1 Medical Billing & Coding C E R T I F I C AT I O N PR OG R AM Cost: $1,799 Total Hours: 80 THREE SESSIONS OFFERED! January 2 - April 1, 201 June August 2, 201 September 1 - December 1, 201 Time: Tuesday & Thursday, 6:00-9:30 p.m. Location: Learning Resource Center, Room Mobile Highway C O N T I N U I N G E D U C AT I O N Post Office Box Air Base Boulevard Montgomery, AL For more information, call

2 Medical Billing & Coding Program TST Tuition - $1,799; Total Hours 80 Tuesday January 2 6:00pm - 9:30pm Thursday January 6:00pm - 9:30pm Tuesday February 6:00pm - 9:30pm Thursday February 6:00pm - 9:30pm Tuesday February 1 6:00pm - 9:30pm Thursday February 1 6:00pm - 9:30pm Tuesday February 1 6:00pm - 9:30pm Thursday February 6:00pm - 9:30pm Tuesday February 2 6:00pm - 9:30pm Thursday February 2 6:00pm - 9:30pm Tuesday March 6:00pm - 9:30pm Thursday March 6:00pm - 9:30pm Tuesday March 1 :00pm - 9:30pm Thursday March 1 6:00pm - 9:30pm Tuesday March 1 6:00pm - 9:30pm Thursday March :00pm - 9:30pm Tuesday March 2 6:00pm - 9:30pm Thursday March 2 6:00pm - 9:30pm Tuesday 6:00pm - 9:30pm Thursday April :00pm - 9:30pm Tuesday April 6:00pm - 9:30pm Thursday April 6:00pm - 9:30pm Tuesday April 1 6:00pm - 9:30pm Thursday April 1 6:00pm - 9:30pm

3 Medical Billing & Coding Program TST Tuition - $1,799; Total Hours 80 Tuesday June 6:00pm - 9:30pm Thursday June 1 6:00pm - 9:30pm Tuesday June 1 6:00pm - 9:30pm Thursday June 1 6:00pm - 9:30pm Tuesday June 2 6:00pm - 9:30pm Thursday June 2 6:00pm - 9:30pm Tuesday J :00pm - 9:30pm Thursday July :00pm - 9:30pm Tuesday July 6:00pm - 9:30pm Thursday July 6:00pm - 9:30pm Tuesday July 1 6:00pm - 9:30pm Thursday July 1 6:00pm - 9:30pm Tuesday July 2 6:00pm - 9:30pm Thursday July 2 6:00pm - 9:30pm Tuesday July 2 6:00pm - 9:30pm Thursday July 3 6:00pm - 9:30pm Tuesday August 6:00pm - 9:30pm Thursday August 6:00pm - 9:30pm Tuesday August 1 6:00pm - 9:30pm Thursday August 1 6:00pm - 9:30pm Tuesday August 1 6:00pm - 9:30pm Thursday August 2 6:00pm - 9:30pm Tuesday August 2 6:00pm - 9:30pm Thursday August 2 6:00pm - 9:30pm

4 Medical Billing & Coding Program TST Tuition - $1,799; Total Hours 80 Tuesday September 1 6:00pm - 9:30pm Thursday September 1 6:00pm - 9:30pm Tuesday September 2 6:00pm - 9:30pm Thursday September 2 6:00pm - 9:30pm Tuesday September 6:00pm - 9:30pm Thursday October 6:00pm - 9:30pm Tuesday October 6:00pm - 9:30pm Thursday October 6:00pm - 9:30pm Tuesday October 1 6:00pm - 9:30pm Thursday October 1 6:00pm - 9:30pm Tuesday October 2 6:00pm - 9:30pm Thursday October 2 6:00pm - 9:30pm Tuesday October 2 6:00pm - 9:30pm Thursday October 6:00pm 9:30pm Tuesday November 6:00pm - 9:30pm Thursday November 6:00pm - 9:30pm Tuesday November 10 6:00pm - 9:30pm Thursday November 12 6:00pm - 9:30pm Tuesday November 17 6:00pm - 9:30pm Thursday November 19 6:00pm - 9:30pm Tuesday November 24 6:00pm - 9:30pm NO CLASS November 26 NO CLASS Tuesday December 1 6:00pm - 9:30pm Thursday December 3 6:00pm - 9:30pm Tuesday December 8 6:00pm - 9:30pm Thursday December 10 6:00pm - 9:30pm

5 Medical Billing and Coding Program This combined 80 hour billing and coding course offers the skills needed to solve insurance billing problems, how to manually file claims (using the CPT and ICD-9 manual), complete common insurance forms, trace delinquent claims, appeal denied claims and use generic forms to streamline billing procedures. The course covers the following areas: CPT (Introduction, Guidelines, Evaluation and Management), specialty fields (such as surgery, radiology and laboratory), ICD-9 (Introduction and Guidelines) and basic claims processes for medical insurance and third party reimbursements. Students will learn how to find the service and codes using manuals, (CPT, ICD-9 and HCPCS). After obtaining the practical work experience (6months to 2 years), students who complete this course could be qualified to sit for the American Academy of Professional Coders (AAPC) - Certified Professional Coder Exam (CPC or CPC-H Apprentice); the American Health Information Association (AHIMA) Certified Coding Associate (CCA) exam; and/or other National Certification Exams Course Contact Hours 80 hrs. Fee: $1,799 (Textbooks included)

6 Summary of Health Care Training Programs & Exam Information: Medical Billing & Coding Medical Billing and Coding is one of the fastest growing careers in the health care industry today! The need for professionals that understand how to code health care services and procedures for third party insurance reimbursement is growing substantially. Physician practices, hospitals, pharmacies, long-term care facilities, chiropractic practices, physical therapy practices and other health care providers all depend on medical billing and coding for insurance carrier reimbursement. With the complexity of the US health care system, the need for health care administration professionals with both office and specialized medical billing and coding skills is growing substantially. Certification Exams: American Academy of Professional Coders (AAPC) - Certified Professional Coder Exam (CPC or CPC-H - Apprentice); the American Health Information Management Association (AHIMA) Certified Coding Associate (CCA) exam; and/or other National Certification Exams. Exam Requirements: American Academy of Professional Coders (AAPC) - Certified Professional Coder Exam (CPC or CPC-H - Apprentice) In order to sit for AAPC CPC exam, you must be a member of the AAPC (cost $85) and pay the exam cost of $285. Students who take our Medical Billing & Coding program may sit for the CPC exam. Applicants currently lacking the CPC requirements (as defined below) including 1) two years coding experience and 2) letters of recommendations verifying coding employment may sit for the CPC H exam. Those who pass the CPC-H exam will be awarded the CPC Apprentice or CPC-H Apprentice designation and will maintain such until required work experience and letters of recommendation have been met. Once a CPC-Apprentice coding professional meets these requirements, they will secure full CPC status. The exam is offered at multiple times throughout the year. Each student will be provided and application for the exam during class. For more information the American Academy of Professional Coders (AAPC) can be found at or call for additional details. American Health Information Management Association (AHIMA) Certified Coding Associate (CCA) exam The cost to sit for the AHIMA Certified Coding Associate exam is $195 for members and $250 for non-members. Students who take our Medical Billing & Coding program may sit for the CCA exam. To sit for the exam you must have a high school diploma or have passed the GED. The exams are offered on the computer and may be taken at H&R Block offices around the country at 9AM or 1:30PM. American Health Information Management Association (AHIMA) can be found at OR call (312) Important Note: Most coding national certification exams are very challenging and we recommend that all students who take National Coding Certification exams obtain 1 to 2 years of practical experience prior to taking a coding exam.

7 Medical Billing and Coding Professional 80 Hours Medical Billing and Coding Professional Medical billing and coding professionals keep records, calculate patient charges and review files. Duties include: reviewing records; calculating charges for a patient s procedure and service and preparing itemized statements and submitting claims to third party payers. Medical Coders are responsible for the collection of physician charges and patient data to ensure that claims are submitted to insurance carriers accurately and in the most efficient and expeditious manner. Additionally, Medical Coders determine codes for physician procedures and diagnosis - using ICD-9 and CPT-4 coding protocols - for third party billing purposes. Medical Billing & Coding Professional Employment & Education Medical Billing and Coding is one of the fastest growing careers in the health care industry today! The need for professionals that understand how to code health care services and procedures for third party insurance reimbursement is growing substantially. Physician practices, hospitals, pharmacies, long-term care facilities, chiropractic practices, physical therapy practices and other health care providers all depend on medical billing and coding for insurance carrier reimbursement. Educational Requirements* People interested in becoming Medical Coders or pursuing national certification should have a high school diploma or GED equivalent. Also, Certain National Medical Coding Certification exams are very complex and may require 6 months to 2 years of suggested practical coding experience prior to taking the exam or being recognized as a certified medical coding professional. Medical Billing and Coding Program This 80 hour course offers the skills needed to solve insurance billing problems, how to manually file claims (using the CPT and ICD-9 manual), complete common insurance forms, trace delinquent claims (EOB s) and use generic forms (CMS 1500) to streamline billing procedures. The course covers the following areas: CPT (introduction, guidelines, evaluation and management), specialty fields (such as surgery, radiology and laboratory), ICD-9 (introduction and guidelines) and basic claims process for medical insurance and third party reimbursement. Students will learn how to find the service codes using coding manuals, (CPT & ICD-9). After obtaining the suggested practical work experience, students who complete this course could be qualified to sit for the American Academy of Professional Coders (AAPC) - Certified Professional Coder Exam (CPC or CPC-H - Apprentice); the American Health Information Management Association (AHIMA) Certified Coding Associate (CCA) exam; and/or other National Certification Exams. Medical Billing and Coding Detailed Course Information a career as an insurance coding specialist documentation guidelines and legal issues affecting insurance claims and medical records basics of health insurance and procedural coding introduction to CPT Manual evaluation and management services Anesthesia/Surgery, Radiology and Pathology/Laboratory Medicine Diagnosis Coding CPT Modifiers, E and V Codes and Late Effects Introduction to International Classification of Diseases, Clinical Modifications, Coding Guidelines The Health Insurance Claim Form (CMS 1500) HIPAA and Electronic Date Interchange (EDI) Tracing Delinquent Claims and Insurance Problem Solving Managed Care Systems and Special Plans & Third Party Reimbursement, Medicare, Blue Cross-and Blue Shield Plans, Medicaid and Other State Programs, CHAMUS and CHAMPVA, Worker s Compensation, Disability Income Insurance and Disability Benefit Programs This entry level course does not require the use of a computer as the focus of a coding professional is the proper use of coding and the related coding manuals

8 Lecture Topics Medical Terminology Human Anatomy and Physiology Introduction to the CPT Evaluation and Management Coding Coding for Anesthesia Services The Use of Modifiers The Use of the Surgery Sections and coding for the Integumentary System Coding for Procedures and Services of the Respiratory System Surgical Procedures of the Cardiovascular System Coding How to Code for the Female Genital System and Maternity Care and Delivery Coding For General Surgery Coding for Radiology Services Systems for Coding Pathology and Laboratory Services Coding for Diagnostic and Therapeutic Services and the Level II National Codes Using ICD-9-CM Codes Third Party Reimbursement Issues Lab Skills National Certification Exams Learning Objectives & Outcomes Medical Billing and Coding Program 80 Hours Detailed Overview Basic Word Structure, Organization of the Body and the Body Systems, Suffixes, Prefixes, Medical Specialists and Case Reports, Diagnostic Tests and Procedures, Abbreviations and symbols, Glossary of Medical Terms and Glossary of Word Parts The CPT Manual Format, The Placement of CPT codes on the CMS-1500 Insurance Form, Symbols used in the CPT, Understanding the Importance of Modifiers, The Use of Guidelines and Notes, Unlisted Procedures and Services and the use of the Special Report, Review of Category II and III CPT Codes, Using the CPT Appendices The Three Factors of E/M Code Assignment, The New and Established Patient, Inpatients and Outpatients, Levels of E/M Services, History, Examination and Medical Decision Making, Contributing Factors, Analyzing Contributing Factors, Analyzing Types of E/M Codes, CMS Documentation Guidelines, Coding EM Services Understanding the Format of the Anesthesia CPT Coding, The Anesthesia Billing Formula, Coding for Anesthesia Services, Using HCPS Modifiers, Purpose of CPT modifiers and Assigning CPT Modifiers Fracture Treatment Types, Coding for Types of Tractions, Elements of Arthroscopic Procedures, Cast Applications and Strapping Procedures, Code Musculoskeletal Services and Procedures Terms that Apply to Coding the Respiratory System, Endoscopy, Incision and Excision, Removal of a Foreign Body, Sinuses, the Larynx, Trachea and Bronchi, Lungs and Pleura, and Thoracentesis and Thoracoplasty Angiography, Electrophysiology, Pericardiocentesis, Pacemakers and Pacing Cardioverter-Defribrillator, Operative Procedures Performed on Cardiac Valves, Coronary Bypass Surgery and Selective and Nonselective Placement, Vascular Access and Injections Procedures, Cardiac Catheterizations, Electrophysiologic Procedures Coding for Colpotomy, Hysterectomy, Dilation and Curettage, Using Incision and Destruction Codes in the Vulva, Perineum, and Introitus, The Global Maternity and Delivery Packages for Insurance Purposes, Coding for Female Genital and Maternity Care and Claims Submission Coding for the Male Genital System, Repair of the Chordee Hypospadias, Coding for the Urinary System including Kidney, Ureters, Bladder and Urethra, Correct Coding for the Digestive System, Resections and Endoscopic Procedures, Understanding the Hemic and Lymphatic Systems, Surgery of the Skull Base, Spine and Spinal Cord Radiology Terminology and Major Components for Coding Computed Tomography, Magnetic Resonance Angiography, Mammography, Ultrasound, Radiation Treatment Delivery, and Clinical Brachytherapy. Organ and Disease Orientated Laboratory Panels, Drug Assays, Coding for Chemistry, Hematology, Coagulations, Immunology, Microbiology, Surgical and Pathology Immunization and Administration of Vaccines and Toxoids, Prophylactic and Diagnostic Injections and Infusions. Coding of Psychiatry, Dialysis, Ophthalmology, Cardiac Catheterizations. Using National Level I, II, and III Codes Understanding ICD-9-CM, Official Guidelines for ICD-9-CM Application, ICD-9-CM Formats and Conventions, Volumes I, II, and III. Etiology and Manifestation of Disease and How it Relates to ICD-9-CM Coding. ICD-9-CM Coding Applications for Hypertension, Neoplasms, Drugs and Chemicals, Diseases and Illnesses of the Eleven Body Systems, V Codes, E Codes, Morphology of Neoplasms, Mental Disorders, Outpatient and Inpatient Coding Guidelines The Basic Structure of the Medicare System, The Importance of the Federal Register, Diagnosis Related Groups (DRGs), Peer Review Organizations (PROs), What is the Outpatient Resourced-Based Relative Value Scale (RBRVS), The Prospective Payment System for the Skilled Nursing Facility, Outpatient Medicare Reimbursement System (APC), Medicare Fraud and Abuse, The Managed Healthcare Concept, Connecting the ICD-9-CM and the DRG, Accurate Claims Submission to the Third-Party Payer, Account Receivable, Accounts Payable, Denials, Errors in Claim Submission, Discussion of HIPAA for Confidentiality and Billing, Billing Place of Service, Type of Service and Patient Status Correctly, Proper medical record documentation to support your billing, Rules and Guidelines for Selecting the Correct Code to Bill Properly for Services Rendered by the Provider in a Medical Office, Outpatient facility, or Inpatient Facility. Internal Audits to Prevent Fraud in Connection to Medical Billing. Describes the Uniform Hospital Discharge Data Set Used for Establishing a Uniform Billing System. Patient Account Maintenance. Demonstrates accurate code selection of National Level Codes I, II, III, ICD-9-CM Codes (Volumes I, II, and III) for services and procedures performed in Office and Other Outpatient Facilities, Ambulatory Care, Skilled Nursing Facility, Emergency Department, Inpatient, Observation, Consultations, Pediatric and Critical Care Services, Subsequent Nursing Care, Domiciliary, Rest Home or Custodial Care, and Home Services. Demonstrates a clear understanding of correct claims submission rules, follow up, patient account maintenance, internal claim audit, third-party claims submission rules and regulations, fraud and abuse, the Federal Register, Medicare/ Medicaid, APC, RBRVS, PROs, DRGs, managed care, professionalism, and an understanding and applying human anatomy and medical terminology. After successful completion of the program, graduates are encouraged to obtain a minimum of 6 months to 2 years hands on experience prior to sitting for national coding certification exams. Students are given pertinent information regarding the exam application process. Students pursuing certification must apply directly with the organization that governs the certification of interest: American Academy of Professional Coders (CPC) Website: American Health Information Management (CCA) Website:

9 Registration Information ELIGIBILITY Admission to Continuing Education programs is open to all students unless the class is specifically designed for a limited age group. There are no educational requirements for most courses. REQUIREMENTS FOR REGISTRATION Register early to ensure seating in our limited enrollment classes. We advise early registration as enrollment is on a first come, first served basis. Tuition must be paid in full at the time of registration. Please keep your receipts for verification. Registration is incomplete until all fees are paid in full. REGISTRATION OPTIONS Mail Mail the completed registration form along with your check or money order to: Continuing Education Division H. Councill Trenholm State Technical College Post Office Box Montgomery, AL Make checks payable to Trenholm State Technical College. Postdated checks are not accepted. Phone You may use Discover, MasterCard or Visa to register. Please call (334) Fax Fax a completed registration form with a Visa, MasterCard, Discover, or purchase order number with billing information to (334) In Person Bring the completed registration form to the Office of Continuing Education, Learning Resource Center, Fourth Floor, Room 410, 3086 Mobile Highway. Office hours are Monday - Thursday, 7:30 a.m. - 5:30 p.m., Friday, 7:30 a.m. - 11:30 a.m. REFUNDS/CANCELLATIONS POLICY If you withdraw for any reason before the first class meeting, a refund minus a 5 percent administrative processing fee will be mailed. We must receive your refund request in writing at least 24 hours before the class begins. Please include your name, social security number and course name in this request. No refunds will be given after the first class meeting. All registration will automatically be refunded in full for class cancellations due to insufficient enrollment. The Continuing Education office reserves the right to cancel any class that does not have a minimum of ten (10) registrants. Information will include the date, time and location of the course. Every effort is made to notify students of course cancellations by phone or prior to the start of classes. NON-SUFFICIENT FUND CHECK POLICY If your check is returned because of insufficient funds in your account, there is a $30.00 fee. The check will be submitted to the proper authorities for collection. You may be subject to additional fees. For more information, please visit our website at and go to Continuing Education from the main menu. Call for more information TODAY! (334)

10 Application for Non-Credit Course Trenholm Campus Post Office Box Montgomery, AL (334) Fax (334) Patterson Campus Post Office Box Montgomery, AL (334) Fax (334) Date: Social Security Number: Date of Birth: Ethnic Origin : White/Caucasian Black/African American Asian/Pacific Islander Hispanic American Indian/ Alaskan Native Other Prefer not to respond Education Level: GED High School Diploma College Gender: Male Female Name: Last First Middle Maiden Address: City State Zip County Phone: Day Fax Number: Address: Cell PERSON TO CONTACT IN CASE OF EMERGENCY Name: Phone: PAYMENT METHOD Enclosed is a check for $ made payable to Trenholm State Technical College Bill Company via P.O. # (copy required) Company Visa MasterCard Discover WIA Qualified Cash (Do not mail cash) Credit Card # Exp. Date / Name on Card (please print) COURSE TITLE DATE FEE Total: $