HEA-HEA7290 - Medical Reimbursement Specialist
6420802
Delivery Options
CLASS
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Course Description
Permission required prior to enrollment
Contact cehealth@cpcc.edu for details
Students will learn basic ICD-10-CM and CPT coding skills. Students will gain knowledge of Medicare, Medicaid, Managed Care, insurance terminology, billing and reimbursement skills.
Course Outline
1. Coding rules, regulations, guidelines, and resources
2. ICD-10-CM Format and Conventions
3. Basic Steps of Coding
4. General Coding Guidelines
- Diagnosis
- Medical and Surgical Procedures
- Other Medical- and Surgical-Related Procedures and Ancillary Procedures
5. Coding
- Symptoms, Signs, and Abnormal Clinical and Laboratory Findings Not Elsewhere Classified, and Z Codes
- Certain Infectious and Parasitic Diseases
- Neoplasms
- Diseases of the Blood and Blood-Forming Organs and Certain Disorders Involving the Immune Mechanism
- Endocrine, Nutritional, and Metabolic Diseases
- Mental, Behavioral, and Neurodevelopmental Disorders
- Diseases of the Nervous System, Diseases of the Eye and Adnexa, and Diseases of the Ear and Mastoid Process
- Diseases of the Circulatory System
- Diseases of the Respiratory System
- Diseases of the Digestive System
- Diseases of the Skin and Subcutaneous Tissue
- Diseases of the Musculoskeletal System and Connective Tissue
- Diseases of the Genitourinary System
- Pregnancy, Childbirth, and the Puerperium
- Certain Conditions Originating in the Perinatal Period and Congenital Malformations, Deformations, and Chromosomal Abnormalities
- Injury and Certain Other Consequences of External Causes and External Causes of Morbidity
- Burns, Adverse Effects, and Poisonings
- Complications of Surgical and Medical Care
6. Reimbursement Methodologies
7. Outpatient Coding
Learner Outcomes
- Students will learn how to code medical procedures using the CPT.
- Students will learn how to code diagnoses using the ICD-10-CM.
- Students will gain knowledge of the HCPCS coding system.
- Students will be proficient in completing a CMS1500 claim form.
- Students will gain knowledge and understanding of reimbursement procedures.
- Students will be exposed to medicolegal terminology and issues.
- Students will continue their knowledge of and gain additional medical terminology.
- Students will gain understanding of Medicare, Medicaid, Tricare, Managed Care and commercial insurance plans.
Prerequisites
An approved application must be on file prior to enrollment. Students must:
- Successfully complete or test out of CIS-HEA7625 Medical Keyboarding
- Successfully complete OSC-HEA7254 Exploring Medical Language or show proof of successfully completing this course at another institution
Applies Towards the Following Certificates
- Medical Billing and Coding Certificate Program : Medical Billing and Coding Program
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Application
Name
Medical Reimbursement Specialist Application
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