Medical Billing and Coding Online Course
Earn a career diploma in medical billing and coding in as little as 4 months. Ashworth College's Medical Billing and Coding online course helps prepare you to take the Certified Billing and Coding Specialist (CBCS) exam from the National Healthcareer Association, the Certified Professional Coder (CPC®) exam from the American Academy of Professional Coders (AAPC) and the Certified Coding Associate (CCA®) exam from the American Health Information Management Association (AHIMA).
Lesson Group 1: Orientation: Ashworth College Career ProgramLearning 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.
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 Group 2: Medical and Body Systems TerminologyMedical Terminology
Introduction to basic medical terminology and word formation; identification of the four major word parts of medical terms; building, defining, and analyzing medical terms.
Discussion of the anatomy and physiology of the integumentary, musculoskeletal, digestive, cardiovascular, lymphatic, respiratory, endocrine, and nervous systems; identification of associated terms, conditions, and abbreviations.
Discussion of the anatomy and physiology of the urinary and reproductive systems, the specialties of gynecology, obstetrics, and neonatology, and the anatomy of the eyes and ears; identification of associated terms, conditions, and abbreviations.
An overview of the terminology related to major chronic and infectious diseases as well as surgical treatments for those diseases.
Lesson Group 3: Understanding Managed CareIntroduction 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.
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.
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 Group 4: Medical CodingICD-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.
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.
Guidelines for procedural coding within the hospital setting; comparison to ICD-9-CM Volume 3; an explanation of the analysis, assignment, and sequencing of ICD-10-PCS codes.
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.
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 Group 5: Medical BillingPhysician 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.
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.
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.
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 Group 6: Accounts Receivable, Injury Claims, and Electronic Claims ProcessingExplanation 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.
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.
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.
Lesson Group 7: ICD-10-CM Coding PracticeICD-10-CM Coding Practice, Part 1
Introduction to ICD-10-CM; guidelines and conventions; neoplasms; symptoms, signs, and abnormal clinical and laboratory findings; factors influencing health status and contact with health services; external causes of morbidity.
Diseases of the digestive system; endocrine, nutritional, and metabolic diseases; diseases of the skin and subcutaneous tissues; diseases of the musculoskeletal system and connective tissue; injury, poisoning, and certain other consequences of external causes.
Diseases of the circulatory system; diseases of the blood and blood-forming organs; diseases of the respiratory system; diseases of the nervous system and sense organs; mental, behavioral, and neurodevelopmental disorders; diseases of the eye and adnexa; diseases of the ear and mastoid process.
Infectious and parasitic diseases; diseases of the genitourinary system; pregnancy, childbirth, and the puerperium; conditions originating in the perinatal period; congenital malformations, deformations, and chromosomal abnormalities.
Lesson Group 8: CPT/HCPCS and ICD-10-PCS Coding PracticeCPT/HCPCS Coding Practice, Part 1
Introduction to CPT and HCPCS coding; CPT modifiers; evaluation and management services; medicine procedures.
Surgery coding; anesthesia procedures; digestive, endocrine, integumentary, musculoskeletal, and cardiovascular system procedures.
Hemic and lymphatic system procedures; mediastinum and diaphragm procedures; respiratory and nervous system procedures; eye and ocular adnexa procedures; auditory system procedures; operating microscope procedures; urinary, male genital system, reproductive, and intersex surgery procedures; female genital system and maternity care and delivery procedures; radiology services; pathology and laboratory services.
Purpose of ICD-10-PCS; coding manual organization and code structure; coding guidelines and steps; medical and surgical basics; coding for medical and surgical procedures.
Coding for procedures that remove a body part; that put in place or move a body part; that alter the diameter/route of a tubular body part; that remove solids, fluids, or gases; and that involve devices.
Coding overview, abstracting, character assignment, and code arrangement for medical and surgical-related procedures and ancillary procedures.
Why choose Ashworth College to get trained and prepared for the Medical Billing and Coding Certification exam?
Your course prepares you to take the Certified Billing and Coding Specialist (CBCS) exam from the National Healthcareer Association, the Certified Professional Coder (CPC®) exam from the American Academy of Professional Coders (AAPC), and the Certified Coding Associate (CCA®) exam from the American Health Information Management Association (AHIMA)—all important credentials within the medical billing and coding field.
Ashworth College's online Medical Billing and Coding training program is one of the most affordable online programs available. What's more, your fee for the Certified Billing and Coding Specialist (CBCS) exam from NHA is included as part of your program tuition, which means no additional cost to you!*
- Your Medical Billing and Coding course was recently revised and features the most up-to-date information regarding HIPAA regulations and the Affordable Care Act.
- The medical coding training places special emphasis on the ICD-10-CM, ICD-10-PCS, and HCPCS coding systems. You'll learn how to assign codes for diagnoses and procedures using all of these systems.
- You'll receive copies of the ICD-10 and CPT coding books as part of your program tuition—the same manuals used every day in hospitals and physicians' offices across the country.
Our Medical Billing and Coding Certification Online Course Partner
Ashworth College partnered with the National Healthcareer Association (NHA) to provide you with a valuable opportunity for professional Medical Billing and Coding certification. You can also go on to pursue credentials through the American Academy of Professional Coders (AAPC) or the American Health Information Management Association (AHIMA).
Why choose NHA for your certification?
- NHA has certified more than 450,000 allied health professionals in the last 25 years.
- NHA is meeting the demand for credentialed professionals by offering The National Commission for Certifying Agencies (NCCA) nationally accredited certifications.
- The Certified Billing and Coding Specialist (CBCS) credential from the NHA can give you a competitive advantage in your field, as it is nationally recognized by many employers and can help open the door for more job opportunities, higher pay, and job security.
- NHA exams are administered at hundreds of locations nationwide to make the medical billing and coding certification exam experience convenient for you.
- NHA offers innovative certification preparation options that feature online practice drills, detailed test plans, review questions, case studies, and progress-tracking to help you assess your level of readiness for certification.
- NHA offers customized continuing education and recertification solutions to help you maintain your credential throughout your career.
Why pursue additional credentials through AAPC?
- All AAPC certifications demonstrate a strong hands-on, working knowledge to support cleaner claim submission, faster reimbursement, fewer denials, and better run practices and facilities.
- AAPC credentialed coders have proven mastery of all code sets, evaluation and management principles, and documentation guidelines. They represent the best in the medical coding career field.
- AAPC has expanded beyond outpatient coding to include training and credentials in documentation and coding audits, inpatient hospital/facility coding, regulatory compliance, and physician practice management.
- AAPC has a membership base over 157,000 worldwide, of which nearly 105,000 are certified.
- AAPC offers continuing education for all credentials through local chapters, workshops, webinars, a monthly newsmagazine, other publications, and conferences.
Why pursue additional credentials through AHIMA?
- AHIMA certification can help you to improve your earning potential, to open the door to more opportunities for career advancement, and to increase your job mobility and choices even in the face of a tough job market.
- AHIMA certification represents a high level of achievement and demonstrates proficiency and a broad base of knowledge.
- AHIMA certified professionals pass a rigorous exam and commit to ongoing professional development and recertification. When a person becomes AHIMA-certified, it reflects a deep personal commitment and sense of accountability, inspiring credibility and confidence in an individual's professional knowledge.
- Earning an AHIMA credential plugs you into a prestigious community of ongoing support. Although membership is not required in order to become AHIMA-certified, you can enhance your connection even more by becoming an AHIMA member.
A career in this field may require you to meet certain licensing, training, and other requirements that can vary by vocation and state. You should check with your state, local government and/or licensing board to find out which requirements may be applicable in your state. Click here for contact information on state licensing/regulatory boards and certain professional licensing information.
Our Medical Billing and Coding Online Course
As part of Ashworth College's Medical Billing and Coding online course, you'll learn how to accurately code diagnoses and procedures using industry-standard coding systems, process and submit insurance claims, and follow government-mandated privacy and security regulations.
Employers are looking for medical billing and coding professionals who can:
- Operate as a liaison between healthcare providers and insurance companies
- Accurately process insurance paperwork to receive the correct reimbursement for the facility
- Handle confidential patient information by adhering to HIPAA regulations
- Navigate an EHR system and enter, analyze, and interpret electronic patient data
Medical Billing and Coding Student Reviews
"I’d recommend Ashworth to any student who’s very busy. If you’re a full-time Mom or if you’re working full-time, I recommend it because it’s very flexible and the online classes are very easy to follow. "
–Cecilia Occhieny, Recent Graduate
"You can achieve your goals here at Ashworth College. It doesn’t set you up to fail. You can go at your own pace every step of the way"
– Carolyn McDale, Recent Graduate
"Thank you Ashworth for making it possible to go to school while having a family and a job! "
– Anna Bak, Recent Graduate
"Thank you, Ashworth College, for giving me the tools to be successful."
– Jose Dones, Recent Graduate
"I love Ashworth College because I don't have to take student loans to pay my school fees. It is affordable and you can study at your own time."
– Michell Oberly, Student
Your Medical Billing and Coding Course Includes:
The Medical Billing and Coding online course at Ashworth College is affordable and flexible
Textbooks and virtual field trips
ICD-10 and CPT coding books
Instructional and tutorial support from our experienced faculty
Membership in Ashworth College's online student community
Interactive student portal that can be accessed anytime and anywhere from your phone, tablet, or computer
Job resources and personalized career guidance from our dedicated Career Services team
Proctored Certified Billing and Coding Specialist exam* delivered by the National Healthcareer Association – including interactive test prep resources, plus Certification certificate and wallet card if passed ($180 value)
*Certification Exam Requirements: Certification exam prerequisites vary. Please check with NHA for their requirements.
What certifications are available for the Medical Billing and Coding?
Ashworth College's Medical Billing and Coding program helps prepare you to take the Certified Billing and Coding Specialist (CBCS) exam from the National Healthcareer Association, the Certified Professional Coder (CPC®) exam from the American Academy of Professional Coders (AAPC), and the Certified Coding Associate (CCA®) exam from the American Health Information Management Association (AHIMA). These credentials are nationally recognized by many employers and can help open the door for more job opportunities, higher pay, and job security.
What features should I look for in the Ashworth College Medical Billing and Coding online courses compared to other schools' programs?
It's important that the program you choose covers ICD-10-CM/PCS and CPT/HCPCS coding practices. You also want to make sure your program includes the latest information on HIPAA compliance and electronics claims processing. Look for a program that has only the lesson content you need to know, a program that's focused on the Billing and Coding skills you need to start your career. Your program should include specific lessons on billing practices for important government programs like Medicare, Medicaid and TRICARE, as well as detailed instruction about workers compensation claims. You also want to know the required billing practices for both hospitals and a physician's office.
Is the training all online or do I get books?
Students can access the lesson materials online, but also receive printed learning guides. The textbooks and coding books are hard copy and are shipped to students at the required point in their training program.
Our Medical Billing and Coding online course can help you get ahead quick in a field that's high in demand. Call 1-800-957-5412 or enroll online now.