Medical Billing Online Courses

Career Diploma in
Medical Billing and Coding

In the Certified Medical Billing and Coding program, you’ll learn to process invoices and obtain accurate reimbursements while complying with federal regulations. Our Medical Billing online courses prepare you to take the Certified Billing and Coding Specialist (CBCS) exam from our partner, the National Healthcareer Association (NHA), an industry leader, opening the door to more job opportunities and professional advancement.

  • Prerequisite: None
  • Study Method: Textbooks with Online Exams
  • Program Length: As few as 6 Months

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EXPIRES 7/31/14

This Career Program
$10 Down / $49 Monthly

  What You'll Learn

Our medical billing training online course consists of comprehensive, practical lessons. The information in this course has been carefully organized to ensure you have the tools you'll need to succeed when entering the medical billing and coding career field. In our certified medical billing course you'll learn useful skills including...

  • Types of insurance plans
  • Medical contracts and ethics
  • HIPAA regulations
  • Physician and hospital billing
  • Medicare and Medicaid
  • Electronic claims processing

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View Curriculum Details  

Lesson 1: Learning at Ashworth  

The goals and values of Ashworth College; time management; creating a realistic weekly and monthly study schedule; the nature and purpose of assessments; how to study effectively to prepare for and take an online examination; developing the skill sets necessary for success in the twenty-first century.

Lesson 2: Allied Health Careers  

Introduction to the basic operations of allied health careers and the legal and ethical issues you may encounter while working in the many different venues available for these fields.

Lesson 3: Medical Terminology  

Fundamentals and origins of medical terms; analyzing, defining, and creating medical terms; identifying major body structures and directional terms.

Lesson 4: Body Systems 1  

Anatomy, physiology, and basic terminology related to the integumentary, musculoskeletal, digestive, cardiovascular, lymphatic, respiratory, endocrine, and nervous systems.

Lesson 5: Body Systems 2  

Anatomy, physiology, and basic terminology related to the urinary and reproductive systems; gynecology, obstetrics, and neonatology terms and conditions; anatomy of the eyes and ears.

Lesson 6: Introduction to Professional Billing and Coding Careers  

An introduction to the different types of facilities that employ allied health personnel; job descriptions pertaining to billing and coding careers; options available for certification.

Lesson 7: Insurance Plans  

The history and impact of managed care; the organization of managed care and its effect on the provider, employee, and policyholder; patient financial responsibility; types of managed care plans and insurance coverage.

Lesson 8: Medical Contracts, Ethics, and HIPAA  

Key elements of managed care contracts; covered services for patients, including preventive medical services and office visits; protected health information; patient information disclosure; HIPAA security standards and regulations compliance; HITECH and EHRs.

Lesson 9: ICD-9-CM Coding  

History of coding; purpose of ICD-9-CM; abbreviations, symbols, typefaces, punctuation, and formatting conventions; correct code assignment; nine steps of accurate coding.

Lesson 10: ICD-10-CM Coding  

Similarities and differences between ICD-9 and ICD-10 codes; differences between a crosswalk and mapping; general ICD-10 coding guidelines; new features in ICD-10-PCS.

Lesson 11: CPT and Place-of-Service Coding; Coding Procedures and Services  

History of CPT; evaluation and management (E/M) services and code assignment; CPT categories; modifiers and add-ons; using the CPT index; code ranges and conventions.

Lesson 12: HCPCS, Coding Compliance, and Auditing  

Two levels of HCPCS coding; modifiers; interpreting and identifying correct code linkages; reviewing codes for accuracy; federal laws, regulations, and penalties pertaining to coding compliance; the National Correct Coding Initiative; medical ethics for coders; implementing a coding audit; reviewing and analyzing medical records; content and documentation requirements.

Lesson 13: Physician Medical Billing  

Completing medical claim forms accurately, both manually and electronically; defining claim form parts, sections, and required information; the CMS-1500 claim form; reasons why claim forms are delayed or rejected; filing a secondary claim.

Lesson 14: Hospital Medical Billing  

The hospital inpatient billing process; submitting accurate and timely hospital claims and practicing good follow-up and collection techniques; differentiating between inpatient and outpatient services; the UB-04 (CMS-1450) hospital billing claim form.

Lesson 15: Medicare  

Government billing guidelines; determining the amount due from a patient for a participating provider; Medicare fee schedules; completing accurate Medicare forms; identifying types of Medicare fraud and abuse.

Lesson 16: Medicaid and TRICARE  

Requirements for qualifying to receive Medicaid benefits; determining the schedule of benefits a Medicaid recipient will receive; verifying Medicaid benefits; submitting a Medicaid claim and deciphering claim status; determining TRICARE eligibility; types of benefits available to veterans and their families; submitting claims to TRICARE using the CMS-1500 and UB-04 forms.

Lesson 17: Explanation of Benefits, Payment Adjudication, Refunds, and Appeals  

Steps necessary for filing a medical claim; the importance of the Explanation of Benefits and Electronic Remittance Advice forms; calculating accurate payment by a carrier or third-party payer; making adjustments to patient accounts; reviewing reason codes; common problems and solutions for denied or delayed payments; formatting medical records with proper documentation; registering a formal appeal; ERISA rules and regulations; refund guidelines; rebilling insurance claims; three levels of Medicare appeals; calculating and issuing refunds.

Lesson 18: Workers' Compensation  

The history of workers' compensation; federal workers' compensation versus state workers' compensation; classifications of work-related injuries; injured workers' responsibilities and rights; responsibilities of the treating doctor/physician; the role of an ombudsman; four types of workers' compensation benefits; different types of disability; completing a CMS-1500 form for a workers' compensation claim; determining the workers' compensation fee schedule based on the Medicare Fee Schedule.

Lesson 19: Electronic Claims Processing  

Entering patient demographic information and posting charges, payments, and adjustments using medical practice management software; printing a walkout receipt for each patient who has charges posted to his or her account; balancing the batch at the end of the day; printing insurance claim forms for patients who are covered by insurance.

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  What You Get

National Healthcareer Association (NHA) Certified Pharmacy Technician (CPhT)

Complete our Medical Billing course online and on your terms. Begin when you want, study at your own pace and get personal assistance when you need it. We've eliminated the hurdles so you can make progress fast!

The content selected for your certified medical billing course balances integral theoretical concepts and practical application. Your tuition covers:

  • Comprehensive medical billing and coding textbook
  • Certification-aligned study guide
  • Dedicated academic support and tutoring
  • Participation in the Student Community
  • Career Services powered by CareerBuilder®

After graduation...

  • Fully interactive test prep resources provided by the National Healthcareer Association (NHA), to help you build your skills and pass the exam with confidence
  • Proctored Certified Billing and Coding Specialist exam ($105 value), delivered by the NHA
  • NHA Certification certificate and wallet ID card ($19 value) after passing exam

Upon graduating from our Certified Medical Billing course online you'll receive your diploma as well as an invitation to participate in our annual graduation ceremony. You'll be proud knowing your career diploma will help you in passing the Billing and Coding Specialist Certification (CBCS) from the National Healthcareer Association (NHA).

  • Medical Billing Online Courses Diploma

    Diploma

  • Graduation Video

    Ceremony

We've cleared the way. Start your medical billing training online today. Speak with an Admissions Advisor at 1-800-957-5412 or enroll online now.

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