What You'll Learn
With your Medical Billing Certificate, you’ll gain a solid understanding of health policies, the processing of public and private health insurance claims, medical coding and reimbursement issues. When you graduate, you will be ready to advance in your current job or explore a new career path. Enroll now!
The lessons in the Medical Billing Certificate course are challenging yet easy to follow, designed to prepare you to apply what you learn in the real world. Key topics include…
- Health insurance policies
- Medical coding reimbursement issues
- Processing insurance and managed care claims
- Regulatory considerations
- CPT and ICD-10-CM coding procedures
Orientation to Online Learning (online)
Lesson 1: Introduction to Health Insurance & Managed Care
This lesson introduces you to online learning, with instruction on how to be successful as an Ashworth student. You’ll learn proven study skills, find out how to take advantage of different learning styles, and discover time management techniques. The lesson also includes a guide to career opportunities plus supplementary readings.
Lesson 2: The Insurance Claim and Regulatory Considerations
An introduction to health insurance and managed health care programs.
Lesson 3: Completing the CMS-1500 and Commercial Claims
An overview of the development of a health insurance claim in the health care provider's office and the major steps taken in the processing of that claim by the insurance company.
Lesson 4: Blue Cross Blue Shield Plans
The universal instructions you must consider before entering data on the CMS-1500 claim. You will also learn billing guidelines for inpatient medical, inpatient/outpatient global surgery, medical/surgical and minor surgery, and the maintenance of a provider's insurance claim files.
Lesson 5: Medicare
The history and function of Blue Cross and Blue Shield (BCBS) health insurance plans, the features of BCBS basic benefits, and the typical services found in major medical coverage.
Lesson 6: Medicaid
An introduction to the two major parts of the Medicare program, explain eligibility criteria, the Medicare Fee Schedule, and how to correctly fill out an CMS-1500 claim.
Lesson 7: TRICARE and Workers' Compensation
An explanation of eligibility for state-administered Medicaid under federal guidelines, the services covered under the federal portion of the Medicaid program, the services provided and paid for by state coverage, and the steps required for obtaining preauthorization for services.
Lesson 8: ICD-9-CM Coding
An introduction to the government programs for the uniformed services and the proper procedures for filing Workers' Compensation claims.
Lesson 9: CPT Coding
The procedures for coding diagnoses on the insurance claim form and using the ICD-9-CM manual.
Lesson 10: HCPCS and CMS Reimbursement Issues
The guidelines for coding procedures and services rendered to patients by health care providers.
Lesson 11: Coding for Medical Necessity
An introduction to te HCPCS (HCFA Common Procedural Coding System), the procedure/service coding reference developed by HCFA and how to code using various types of documents. You will also learn about CMS Reimbursement methodologies and systems.
The skills and knowledge necessary to code from patient medical records.
Close Curriculum Details
What You Get
Earn your Medical Billing Certificate online and on your terms. Start when you’re ready, study at your own pace and get personal guidance as you need it. We’ve removed the obstacles so you can move ahead fast.
The Medical Billing certificate course provides everything you need to succeed as a student. Your tuition covers:
- Comprehensive textbook & study guides
- ICD-10-CM 2013 and Current Procedural Technology
- Online, open-book exams
- Dedicated academic support and tutoring
- Career search and time management guides
- Participation in the Student Community
- Career Services powered by CareerBuilder®
Graduates receive a Medical Billing Career Certificate and may attend our annual graduation ceremony. Use the skills you learn as a stepping stone to career advancement or to pave the way toward a new career path.
It’s easier than ever to get ahead. Start your Medical Billing Career Certificate course today. Speak with an Admissions Advisor at 1-800-957-5412 or enroll online now.