Week 1: Introduction to Medical Coding and Billing
Understanding the Basics: Introduction to Medical Coding
- Overview of medical coding and its importance in healthcare
- Introduction to code sets: CPT, ICD-10-CM, and HCPCS
- Exploring the Role of medical coders in the healthcare industry
Navigating the Healthcare System: Overview of Medical Billing
- Introduction to medical billing processes and procedures
- Understanding the revenue cycle in healthcare
- Overview of reimbursement methodologies and payer types
Coding Guidelines and Regulations
- Familiarization with official coding guidelines and regulations
- Understanding compliance and ethical considerations in medical coding and billing
- Introduction to HIPAA regulations and privacy laws in healthcare
Week 2: Mastering CPT Coding
Understanding Current Procedural Terminology (CPT)
- Overview of the CPT code set and its structure
- Introduction to E/M coding and evaluation guidelines
- Exploring surgical and medical procedures coding
Hands-On Practice: CPT Coding Scenarios
- Practical application of CPT coding principles through case studies and exercises
- Coding scenarios covering various medical specialties and procedures
- Instructor-led feedback and discussion on coding accuracy
Advanced Topics in CPT Coding
- Advanced coding concepts and modifiers
- Coding for special services, such as anesthesia and radiology
- Best practices for accurate and efficient CPT coding
Mastering ICD-10-CM Coding
Introduction to ICD-10-CM
Overview of the ICD-10-CM code set and its structure
- Understanding the importance of specificity in diagnosis coding
- Introduction to coding conventions and guidelines
Hands-On Practice: ICD-10-CM Coding Scenarios
- Practical application of ICD-10-CM coding principles through case studies and exercises
- Coding scenarios covering common medical conditions and diagnoses
- Instructor-led feedback and discussion on coding accuracy
Advanced Topics in ICD-10-CM Coding
- Advanced coding concepts, including combination codes and laterality
- Coding for complex medical conditions and scenarios
- Strategies for accurate and efficient ICD-10-CM coding
Week 4: Medical Billing and Reimbursement
Introduction to Medical Billing Software
- Overview of standard medical billing software systems
- Hands-on practice with billing software functionalities and features
- Introduction to electronic claims submission and processing
Understanding Insurance Claims and Denials
- Overview of insurance claims processing and adjudication
- Strategies for preventing and appealing claim denials
- Introduction to common billing errors and how to avoid them
Career Opportunities and Professional Development
- Exploring career paths in medical coding and billing
- Overview of professional certifications and credentials
- Tips for career advancement and continuing education in the field
Students can access online lectures, interactive learning modules, practice exercises, and instructor-led discussions throughout the course. Upon completing the course, students will have gained a comprehensive understanding of medical coding and billing principles and the practical skills and knowledge needed to pursue a career in the field.