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SNOMED CT | ICD-10 | | RCM | Insurance Verification | Medical Terminologies | Medical Coding & Billing Errors

What you will learn

You will be able to recognize different types of medical billing codes.

You will become proficient in understanding and using medical terminologies and medical records.

You will learn the benefits, clinical breadth, and hierarchies of SNOMED CT.

You will understand the steps involved in RCM (Revenue Cycle Management).

You will explore the types of coding, billing errors, and penalties.

You will evaluate the role of computer program when you need to prepare a medical bill.

You will receive a Medical Billing & Coding Certificate of Completion after finishing the Course.

Description

Become an expert in medical billing and coding and learn how to translate medical terms into lucrative skills that will set you up for long-term success with Medicare!

In this course, you will learn healthcare’s secret language, where each code explains something related to a diagnostic result, a treatment plan, and the medical billing process. You will have the opportunity to use some coding software while learning this language.

Furthermore, through an examination of layers of medical records and medical terminologies, you will discover the key to accurate, efficient, and effective healthcare documentation.

Additionally, you will learn about SNOMED CT and ICD-10 and their purpose. Through these standardized coding systems, you’ll be able to identify everything from infectious diseases to metabolic disorders. Finally, discover ways to improve Revenue Cycle Management, discover how healthcare facilities work, and a whole lot more.


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This is your golden ticket to a fulfilling and prosperous career in medical billing and coding.

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This course comes with the following sections:

  1. Introduction to Medical Coding: In this section of our Medical Billing & Coding course, you will learn about medical coding, including its types and roles.
  2. Medical Records and Terminologies: As you proceed through the section, you will discover what makes a complete medical record, as well as develop a basic understanding of medical terminologies.
  3. Introduction to SNOMED CT: Gain an understanding of the functionality and benefits of SNOMED CT and how it fits into EHR/EMR systems in this section of the medical billing and coding course.
  4. Introduction to ICD-10 Coding: In this section, you’ll get an introduction to ICD-10-CM, its purpose, and the rules for its adoption as a very important part of medical coding.
  5. General Coding Standards of ICD-10: The purpose of this section is to introduce you to ICD-10-CM, its rules, and coding standards, as well as to the new ICD-10-CM codes, which are critical for accurate medical coding.
  6. ICD-10 5th Edition Codes (Chapters 1 to 4): Learn to code infectious diseases, neoplasms, and disorders related to blood and metabolism in this section of our medical billing and coding special course.
  7. ICD-10 5th Edition Codes (Chapters 5 to 10): This section of our Medicare special course covers coding for diseases of the eye, ear, nervous system, and more.
  8. ICD-10 5th Edition Codes(Chapters 11 to 15): Discover how to code for digestive and genitourinary systems in this section.
  9. ICD-10 5th Edition Codes(Chapters 16 to 22): Find out which codes are specialized for perinatal conditions, and injuries throughout the section.
  10. Introduction to Medical Billing: Increase your understanding of the business side of healthcare, including medical billing and insurance in this section.
  11. Insurance Plans: Gain an understanding of different types of healthcare insurance plans, as well as the concept of risk sharing in this section, which will strengthen your base as a medical billing professional.
  12. Billing and Coding Errors: Learn how to avoid common medical billing and coding errors in this section.
  13. Medical Billing Software Programs and Systems: Learn how software is used in medical billing and its functionality in this section. This software can help you make the medical billing process more profitable and efficient.
  14. Introduction to Revenue Cycle Management (RCM) in Healthcare: Here, discover how healthcare organizations can implement Revenue Cycle Management. Billing and collections are streamlined with RCM, resulting in increased revenue and improved patient care.
  15. Pre-Registration and Insurance Verification: Identify the importance of pre-registration and insurance verification in RCM in this section.
  16. Medical Coding, Charge Entry, and Claim Submission: Gain an understanding of the RCM steps from medical coding all the way through to claim submission in this section.
  17. Accounts Receivable (A/R) and A/R Follow-up: Discover the challenges and best practices in managing Accounts Receivable in the medical billing process..
  18. Denial Management and Reporting in RCM: Acquire a thorough understanding of RCM’s denial management and reporting in depth in this section.
English
language

Content

Introduction to Medical Coding

What is Medical Coding?
What is a Medical Coder
The Types of Code
Coding for Unlisted Procedures

Medical Records and Terminologies

What is Medical Record
The Key Components of Medical Records
Medical Terminology
Basic Medical Term Structure
Understand The Language Rules

Introduction to SNOMED CT

What is SNOMED CT
The Use of SNOMED CT
The Clinical Breadth of SNOMED CT
The Benefits of SNOMED CT
Enabling SNOMED CT in EHR/EMR System
Become Familiar with SNOMED CT Hierarchies

Introduction to ICD-10 Coding

Introduction to ICD-10-CM
The Purpose of ICD-10-CM
The Final Rule for The Adoption of ICD-10-CM

General Coding Standards of ICD-10

Clinical Coding and Clinical Coder
The Clinical Coding Audit
The Three Dimensions of Coding Accuracy
The General Coding Standards

ICD-10 5th Edition Codes(Chapters 1 to 4)

Certain Infectious and Parasitic Diseases
Human Immunodeficiency Virus (HIV) Disease (B20-B24) Coding Guidelines
Neoplasms
The Diseases of the Blood
Endocrine, Nutritional, and Metabolic Diseases

ICD-10 5th Edition Codes(Chapters 5 to 10)

Mental and Behavioural Disorders
Diseases of the Nervous System
Diseases of the Eye and Adnexa
Diseases of the Ear and Mastoid Processes
The Diseases of the Respiratory System

ICD-10 5th Edition Codes(Chapters 11 to 15)

The Diseases of the Digestive System
The Diseases of the Skin and Subcutaneous Tissue
The Diseases of the Musculoskeletal System and Connective Tissue
The Diseases of the Genitourinary System
Become Familiar with Pregnancy, Childbirth, and The Puerperium

ICD-10 5th Edition Codes(Chapters 16 to 22)

Certain Conditions Originating in The Perinatal Period
Congenital Malformations and Abnormalities
Symptoms, Signs, and Abnormal Laboratory Findings
Multiple Injuries and Consequences
External Causes of Morbidity and Mortality
Influencing Health Status
The Codes for Special Purposes

Introduction to Medical Billing

The Business of Healthcare
The Economics of Healthcare
The Money Game
The Marketing Game
The Medicare and Medicaid
Familiar with The Medical Insurance Specialist

Insurance Plans

What Insurance is?
Sharing the Risk
The Healthcare Insurance Premium
The Medical Coverage
The Types of Healthcare Plans
The Health Savings Account
The Liability Insurance and Healthcare

Billing and Coding Errors

The Hidden Costs of Errors
The Types of Errors
The Silly Mistakes
The Red Flags
The Penalty for Coding Errors

Medical Billing Software Programmes and Systems

Computerisation
The Network Connect
The Computer Programme
The New Patient Entry
The Encounter
The Posting Payment
Overview of Revenue Cycle Management
Why Revenue Cycle Management Is Essential in Healthcare
Steps in Revenue Cycle Management
Become an Expert in RCM
Pre-Registration in RCM
Requirements
Patient Onboarding
Benefits
What Is Insurance Verification?
Methods of Insurance Verification
Insurance Verification Process
Medical Coding Standards
Importance
Benefits
What Is Charge Entry?
The Charge Entry Process
Understanding Claim Submission
Claim Submission and its Process
What Happens After a Claim Submission?
Importance of A/R in RCM
The A/R Benchmark
The A/R Process
Challenges of Account Receivable in RCM
Reducing Days in AR
Best Practices for Managing Accounts Receivable
Automate Your AR Workflow
What Are the Types of Denials?
The Denial Management Process
Benefits of Denial Management in RCM
Challenges Involving Denial Management
Best Practices and Strategies
The Roles of Reporting in RCM
The Metrics of Reporting
Continually Improving the Overall RCM Process Through Feedback