Comprehensive Health Insurance

SECTION I: A CAREER IN HEALTH CARE

1.    Introduction to Professional Billing and Coding Careers

 

 SECTION II: THE RELATIONSHIP BETWEEN THE PATIENT, PROVIDER, AND CARRIER

2.    Understanding Managed Care: Insurance Plans

3.    Understanding Managed Care: Medical Contracts and Ethics

4.    HIPAA: Health Insurance Portability and Accountability Act of 1996 

 

SECTION III: MEDICAL CODING

5.    ICD-9-CM Medical Coding

6.    ICD-10-CM Medical Coding

7.    Introduction to CPT and Place of Service Coding

8.    Coding Procedures and Services

9.    HCPCS and Coding Compliance

10.  Auditing

 

 SECTION IV: MEDICAL CLAIMS

11.  Physician Medical Billing

12.  Hospital Medical Billing 

 

SECTION V: GOVERNMENT MEDICAL BILLING

13.  Medicare Medical Billing

14.  Medicaid Medical Billing

15.  TRICARE Medical Billing 

 

SECTION VI: ACCOUNTS RECEIVABLE

16.  Explanation of Benefits and Payment Adjudication

17.  Refunds and Appeals

 

SECTION VII: INJURED EMPLOYEE MEDICAL CLAIM

18.  Workers' Compensation

 

SECTION VIII: USE OF MEDICAL PRACTICE MANAGEMENT SOFTWARE

19.  Electronic Medical Claims Processing