Course Offerings

This Medical Billing course introduces the revenue cycle, including the reimbursement methodologies, claim preparation, payer plans and requirements, and an introduction to medical coding. This course also gives students experience with the CMS-1500 claim form and a medical billing software for data entry and billing. You will have a basic understanding of how to abstract medical diagnoses from clinical documentation to accurately code diagnoses (ICD-10-CM) and procedures (HCPCS and CPT). This course is well paired with Medical Coding, where students will focus solely on medical coding, including how to use the code books and apply associated guidelines. Once you have completed Medical Billing, you are equipped to test for the Certified Professional Biller (CPB) - AAPC exam, a credential most requested for this high-demand occupation. You may continue to Medical Coding and be equipped to test for the Dual CPC and CPB Certification - AAPC or Certified Professional Coder (CPC) - AAPC.

Course Objectives

Identify and define the responsibilities of the Billing Specialist.

Demonstrate knowledge of the various types of insurance and entitlement programs.

Understand claim submission guidelines and processes.

Understand HIPAA and the importance of it's implementation.

Outline of Instruction

The responsibilities of the Billing Specialist.

The various types of insurance and entitlement programs.

Claim submission guidelines and processes.

HIPAA and the importance of it's implementation.

Contact Hours

128

CEUs

1

Industry Standard, State or National Certification

Certification

Certified Professional Biller (CPB) - AAPC or Dual CPC and CPB Certification - AAPC

Website

http://www.aapc.com

Certification Learning Outcomes/Requirements

Once you have completed Medical Billing, you are equipped to test for the Certified Professional Biller (CPB) - AAPC exam, a credential most requested for this high-demand occupation. You may continue to Medical Coding and be equipped to test for the Dual CPC and CPB Certification - AAPC or Certified Professional Coder (CPC) - AAPC.

CE or CU Articulation

No

Prerequisites

Medical Terminology

Learning Supplies Needed

Medical Insurance a Revenue Cycle Process Approach w/ Connect Access Card (bundle), 9th edition; Valerius, Bayes, Newby & Blochowiak; McGraw Hill; ISBN 9781266325557

Clinical Site/Special Facilities

None

Requirements for Successful Completion

90% attendance
Overall grade of 80 or better

Accreditation/Special Approval Requirements

N/A

Intended Audience

Persons wanting to obtain billing certification.

Specific Industry or Business Support Needs

N/A

Wake County Need for Industry Positions

N/A

Industry or Job Titles Related to Training Outcomes for Employment

billing clerk

billing specialist

healthcare biller

biller

Certified Professional Biller

Related Courses

MED-3235A3

Course Contact Information

Samantha Bray
919-532-5844
[email protected]