Introduction to Medical Coding

Medical coding, insurance billing and reimbursement is how a physician gets paid. Correct coding will lead to fewer denials by the insurance carrier. Gain the knowledge that you need by taking this class. Be one step ahead of the game.

The healthcare industry, complex and rigorous even for the most knowledgeable and thorough of professionals, requires that paperwork be submitted both in a highly accurate and very timely manner.

The area of healthcare involving the completion of paperwork outlining patients' billing histories and submission of them to the individual's insurance company for reimbursement is known as 'medical billing'. Within medical billing there exists the practice of 'medical coding' whereby codes are assigned to medical procedures and diagnoses in order to relay--in a universally accepted medical language--information to the insurance company or in some cases, governmental agencies and/or consulting firms.

Also known as 'insurance coding', medical billing/coding is viewed to be essential to the healthcare industry for it creates and maintains a single, unified language by which all (physicians, medical administrators, insurance companies, government healthcare officials) integrated parties are able to effectively communicate.

In this course, we're going to learn medical coding from the ground up. Whether you are new to medical coding, or already have experience, this course is written in 'laymen's terms' yet is comprehensive enough to help even seasoned medical coders.

Learning Outcomes

By successfully completing this course, students will be able to:

·         Define medical coding.

·         Summarize diagnosis coding.

·         Define ICD-9-CM and summarize its coding and structure.

·         Describe the reimbursement process.

·         Demonstrate solving ICD-9-CM coding practice problems.

·         Define Current Procedural Terminology (CPT) and summarize its coding and structure.

·         Demonstrate Evaluation and Management (E/M) Coding.

·         Demonstrate Surgery and Integumentary System Coding.

·         Demonstrate using Anesthesia CPT Codes.

·         Demonstrate coding for Cardiovascular, Respiratory, Musculoskeletal Systems.

·         Demonstrate Radiology and Pathology Coding.

·         Solve CPT Coding Practice Problems.

·         Summarize documentation procedures.

·         Summarize issues with fraud and abuse, and

·         Demonstrate mastery of lesson content at levels of 70% or higher.

Course Lessons

Lesson 1: Introduction to Medical Coding The healthcare industry, complex and rigorous even for the most knowledgeable and thorough of professionals, requires that paperwork be submitted both in a highly accurate and very timely manner.

Lesson 2: Introduction to Diagnosis Coding "Act or process of identifying of determining the nature and cause of a disease or injury through the evaluation and examination of a patient history's and the review of subsequent laboratory data."

Lesson 3: ICD-9-CM - What is it? Introduction to ICD-9-CM coding.

Lesson 4: ICD-9-CM Coding and Structure Formally known as the International Classification of Diseases, Ninth Revision, Clinical Modification, most within the healthcare industry tend to call it by its acronym, ICD-9-CM.

Lesson 5: Reimbursement One of the primary purposes of medical coding, and subsequent billing, is to obtain a reimbursement from the third-party biller.

Lesson 6: ICD-9-CM Coding Practice Problems Review ICD-9-CM Coding Practice Problems.

Lesson 7: Current Procedural Terminology (CPT) What is CPT?

Lesson 8: CPT Coding and Structure Current Procedural Terminology (CPT) as officially stated encompasses a set of codes, descriptions and guidelines used to distinguish medical procedures performed by physicians and additional healthcare providers.

Lesson 9: Evaluation and Management (E/M) Coding In this lesson we'll be exploring E/M coding.

Lesson 10: Surgery and Integumentary System Coding In this lesson we'll explore surgery and integumentary system coding.

Lesson 11: Anesthesia CPT Codes Let's explore the anesthesia CPT codes.

Lesson 12: Cardiovascular, Respiratory, Musculoskeletal Systems Cardiovascular, respiratory and musculoskeletal are distinct in terms of their unique terminologies and special cases, they all share the commonality of having a range of codes correlative to anatomical surgeries.

Lesson 13: Radiology and Pathology Coding We will now turn our attention to the two remaining CPT Manual subsections (outside of medicine and the appendices), those of radiology and pathology.

Lesson 14: CPT Coding Practice Problems Within the CPT 2007 Standard edition, there are literally tens of thousands of individual CPT codes. Thus, while it would impossible and non-productive (as they change so frequently) to memorize all of the codes, it is a good idea to understand how the ma

Lesson 15: Introduction to Documentation (Medical History) Health Information Management and Documentation occupies a titanic area within the medical world.

Lesson 16: Medical Examination, Decision Making, Selecting the Correct Code As a medical coder, your job will be select the most appropriate diagnostic and/or procedural code in order to report encounters, services, tests, treatments, supplies and procedures provided to a patient.

Lesson 17: Issues with Fraud and Abuse Within the US, hundreds upon hundreds of cases pertaining to medical coding/billing fraud and abuse annually amount to billions of dollars lost to government programs, public and private healthcare companies and third party billers.

Glossary Course Glossary

Learn medical coding from the ground up. Whether you are new to medical coding, or already have experience, this course is written in 'laymen's terms' yet is comprehensive enough to help even seasoned medical coders.

Also known as 'insurance coding', medical billing/coding is viewed to be essential to the healthcare industry for it creates and maintains a single, unified language by which all (physicians, medical administrators, insurance companies, government healthcare officials) integrated parties are able to effectively communicate.

This course will provide the type of information you will need to be successful as a professional medical coder:

• Basic medical terminology
• Basic claims process for medical insurance reimbursement
• Methodologies for completing common insurance forms
• Guidance for using medical billing software
• Introduction to diagnostic and procedural coding systems

Join Introduction to Medical Coding Today

Certified Health Data Analyst (CHDA)

 

Certified Health Data Analyst (CHDA) Reference Guide is a collection of readings intended to prepare candidates for the CHDA exam. The CHDA credential was created to meet the demands of a health information management (HIM) industry that is increasingly data-driven and data-dependent. Individuals who earn the CHDA designation achieve recognition of their expertise in health data analysis, and validation of their mastery of this domain.

Certified Health Data Analyst (CHDA) Reference Guide is the ideal guide for individuals intending to take the CHDA exam, covering the three CHDA domains:

• Data management
• Data analytics
• Data reporting

Authors: Susan White, PhD, CHDA, and June E. Bronnert, RHIA, CCS, CCS-P

What is Medical Billing?

What is Medical Billing?

Medical billing or coding is very complex type of job. This job is full of responsibility and requires knowledge of various medical and health processes as well as insurance rules and regulations. With the development of the medical industry, medical billing is also developing. It is a very responsible job. The responsibility of the  medical biller in a health care facility is to ensure that the doctors and nurses in there practice receive reimbursement for their work. Medical billing is a sub-specialty of medical coding. The provider must code and create a claim to be paid. This involves interfacing with insurance companies apart from patients.

Job Description for Medical Billing

We all know that the medical billing business is booming. The job opportunities in medical billing business are also rising. The medical billing expert is one who enjoys working in the hospital environment and has knowledge regarding various medical processes and terms. But the medical biller doesn’t need any medical background. A medical biller needs to collect, arrange and carry out data entry of all the patients’ records, bills, statements and make sure they are error free. There are many training centers for teaching medical billing. You can take a course from the training center. If you can get a chance to work under an expert medical biller then you will be an expert medical biller in a few days.

Qualifications for a Medical Billing Specialist

For doing the medical billing you have to know about the basic medical terms but you need no medical background. For doing the job of medical billing you have to take training from a medical billing training center. After getting the medical billing course you also get a certificate which can give you the chance for applying for a medical billing post. If you are skilled in this matter then you can gets the job easily. If you are a specialist then you can do the job of medical billing consultant online. If you can do your work under an expert medical biller then you can get your experience easily.

Income of the Medical Billing Business

With the concept of medical billing the total situation is also changed. People have begun to take on medical billing as their main profession. The salary for medical billing depends on many factors. The salary for a medical billing job also depends on the local economy. But the salary can be satisfactory. Income from medical billing also depends on educational qualifications and skills. Online there are many medical billing job opportunities and the salary can be very good.

To learn more Click Here!

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NOVEMBER BOOK OF THE MONTH

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A Practical Approach to Analyzing Healthcare Data
Lynn Kuehn, MS, RHIA, CCS-P, FAHIMA

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The Data Analysis "How-To" Guide

A Practical Approach to Analyzing Healthcare Data [With CDROM] A Practical Approach to Analyzing Healthcare Data [With CDROM]is the perfect starting point for understanding basic data analysis concepts, including where to find healthcare data for comparison purposes. The book provides a basic, HIM-focused overview of statistics meant to orient the student to the subject, rather than providing a full course in statistics. It offers hands-on tools HIM professionals can use to start the analysis process for hospital inpatient data, hospital outpatient data, and physician data. This book is focused on real-life data and problem-solving techniques. Whenever possible, readers are provided with real data or asked to use the Internet to research real, publically available resources. HIM professionals may be unfamiliar with statistical techniques, and statisticians may be unfamiliar with how coded data and classification data are organized. This text can build a bridge between the two most common players in the specialty of data analysis, providing either party with the next level of detail needed to form an effective partnership.