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Certified Billing and Coding Specialist (CBCS) Online

This 175-hour synchronous online 2-Part Course includes the process of submitting and following up on claims with health insurance companies in order to receive payment for services rendered by a healthcare provider. Course is designed for anyone who has the desire to work as a Certified Medical Billing and Coding Specialist in any outpatient medical facility such as physicians' offices, clinics, outpatient hospital settings, and other related facilities.

Part 1:

Medical Terminology with Anatomy and Physiology (45 Hrs.)
Medical Coding (45 hrs.)
Sessions: 30
Total Hours: 90
Price: $970*

Part 2:

Prerequisites: Must successfully complete Part 1
Revenue Cycle Management and Health Insurance (60 hrs.)
Compliance and Legal Responsibility (15 hours)
NHA Test Prep and Review (10 hours)
Sessions: 28
Total Hours: 85
Price: $1255*

*$25 Registration fee for each course part is not included in price.

Course Information

Prerequisites:

Have a High School, HSE /GED diploma.
Knowledge of medical terminology is recommended.

Textbooks Required:

Please wait for the first day of the course for the Instructor to advise what textbooks are needed.

THIS COURSE IS ONLINE ONLY

The Certification Exam of the NHA, textbooks and/or materials are not included in the course tuition.

Students will be emailed within one week of start date of class with access instructions.

All instructors are CBCS AAPC- CPC and CPC-I certified with at least 10 years of experience as coders and coding instructors.

Upon completion of the course students are encouraged to take the Certified Billing and Coding Specialist certification examination by the National Healthcareer Association.

Career Outlook

According to the US Department of Labor outlook handbook, the employment of medical records and health information technicians is projected to grow 9 percent from 2020 to 2030, about as faster as the average for all occupations.

The demand for health services is expected to increase as the population ages. The median annual wage for medical records and health information technicians was $44,090 in May 2020.

About 34,300 openings for medical records and health information specialists are projected each year, on average, over the decade. Many of those openings are expected to result from the need to replace workers who transfer to different occupations or exit the labor force, such as to retire.

Course Outline:

The course is presented in four major subjects and respective subtopics with a certification exam review:

Medical Terminology with Anatomy and Physiology ( 45 Hrs.)

Materials/Resources: Ehrlich A. , Schroeder C. , Ehrlich L., and Schroeder K., Medical Terminology for Health Professions, 8^th Ed. 2017. Cengage Learning. eBook ISBN: 978-1-305-63435-0

The course presents a study of basic medical terminology. Included in this content are the prefixes, suffixes, word roots, combining forms, special endings, plural forms, abbreviations, and symbols for practical use. A programmed learning, the word-building system will be used to learn word parts that are used to construct or analyze new terms. This will provide the opportunity to decipher unfamiliar terms and check their spelling. Emphasis is placed on spelling, definition, usage, and pronunciation. Abbreviations will be introduced as related terms are presented. This course introduces terminology related to diseases frequently diagnosed and treated in the medical office setting.

Topics	3-hour session	Activity
Session 1: Introduction to medical terminology	1	Ehrlich and Schroeder Ch. 1: Video, Lecture, Group and Individual interactives
Session 2: Body Orientation, Cavities, Directionals	1	Ehrlich and Schroeder Ch 2: Video, Lecture, Group and Individual interactives
Session 3: Integumentary System	1	Ehrlich and Schroeder Ch. 12: Video, Lecture, Group and Individual interactives
Session 4: Skeletal System	1	Ehrlich and Schroeder Ch. 3 Video, Lecture, Group and Individual interactives
Session 5: Muscular System	1	Ehrlich and Schroeder Ch. 4 Video, Lecture, Group and Individual interactives
Session 6: Cardiovascular System	1	Ehrlich and Schroeder Ch. 5 Video, Lecture, Group and Individual interactives
Session 7: Respiratory System	1	Ehrlich and Schroeder Ch. 7 Video, Lecture, Group and Individual interactives
Session 8: Lymphatic and Immune Systems	1	Ehrlich and Schroeder Ch. 6 Video, Lecture, Group and Individual interactives
Session 9: Digestive System	1	Ehrlich and Schroeder Ch. 8 Video, Lecture, Group and Individual interactives
Session 10: Endocrine System	1	Ehrlich and Schroeder Ch. 13 Video, Lecture, Group and Individual interactives
Session 11: Nervous System, Mental Health and Special Senses	1	Ehrlich and Schroeder Ch. 10 and 11 Video, Lecture, Group and Individual interactives

Session 12: Urinary System	1	Ehrlich and Schroeder Ch. 9 Video, Lecture, Group and Individual interactives
Session 13: Reproductive System	1	Ehrlich and Schroeder Ch. 14 Video, Lecture, Group and Individual interactives
Session 14: Diagnostics and Pharmacology	1	Ehrlich and Schroeder 15 Video, Lecture, Group and Individual interactives
Session 15: Review and Exam	1	One hour review; Two hour exam online
Total Sessions	15	45 Hours complete

Medical Coding (45 hrs.)

Module 1: Introduction to ICD-10-CM (15 hrs.) Materials/Resources: ICD-10-CM 2023 Expert from AAPC Bundle

This module enables billers and coders to become familiarized with the organization and structure of ICD-10-CM, coding conventions, and guidelines. Billers and coders learn how to apply knowledge of coding principles by assigning accurate and precise codes to diagnoses that pertain to all body systems. Billers and coders must acquire full knowledge of the ICD-10-CM to provide accurate reimbursement and faster claims processing.

Topics	3-hour session	Activity
Session 16: Intro to Coding , Introduction to ICD-10-CM	1	Demonstration, Hands on experience, lecture, group activity, individual practice
Session 17: ICD-10-CM Chapters 1-7	1	Lecture, group activity, individual practice
Session 18: ICD-10-CM Chapters 8- 16	1	Lecture, group activity, individual practice
Session 19: ICD-10-CM Chapters 17- 22	1	Lecture, group activity, individual practice
Session 20: Review, Exam ICD-10- CM	1	Peer auditing activity, Review, Quiz
Total	5	15 hours complete

Module 2: Current Procedural Coding (CPT) and HCPCS (30 hrs.)

Materials/Resources: CPT and HCPC Level II 2023 from AAPC Bundle

This module is designed to train individuals to recognize the Procedural Coding Terminology (CPT), coding guidelines, special terms, marks, abbreviations, and symbols, which are based on the American Medical Association guidelines and mandates. Having full knowledge of the CPT coding guidelines will enable students to practice and have hands-on experiences of different coding scenarios that will lead to mastery and proper coding claims.

Topics	3 hr session.	Activity
Session 21: Introduction to Coding	1	Lecture, demonstration, practical hands on exercise
Session 22: CPT EM coding	1	Lecture, hands-on exercises, discussion
Session 23: CPT Anesthesia coding	1	Lectures, discussions and practical hands-on exercises,
Session 24: CPT Surgery coding	1	Think Pair Share, Discussion, Peer Review Exercises
Session 25: CPT Radiology and Lab/Path coding	1	Lectures, discussions and practical hands-on exercises
Session 26: CPT Medicine coding	1	Lecture- hands-on exercises, discussion
Sesion 27: HCPC Level II Coding	1	Lecture, demonstration, hands-on exercises
Session 28: Integrated Coding: Diagnosis, Procedural coding and understanding medical necessity	1	Individual and group practical exercises, discussion
Session 29: Integrated Coding: Understanding the certification exam prep vs workplace coding	1	Coding practice from certification exam practice tests, discussion, group sharing
Session 30: Review and Coding exam	1	Integrated coding exam online platform
Total	10	30 hours total

Revenue Cycle Management and Health Insurance (60 hrs.)

Module 1: Healthcare Revenue Cycle (30 hrs.)

Materials: Paper Book: SimChart For The Medical Office: Learning The Medical Office Workflow, Elsevier. 2023. ISBN: 9780443108839 gives access to the electronic application at the Elsevier site. The paper book guides the use of the electronic application.

This Module guides to understanding the US healthcare system, the electronic health records software that powers the administration of RCM, the claims process, the reconciliation of claims and patient accounts, and understanding standard reporting and metrics of the revenue cycle.

Topics	3hr session	Activity
Session 31: Certification, career options	1	Multimedia presentations, group activity, group discussion

Session 32: Introduction to the US Healthcare Revenue Cycle	1	Discussion, Exercises, Reporting,
Session 33: Understanding EHR	1	Multimedia, Lecture, Hands on (SimChart front end and clinical) exercises
Session 34: Claims Process Part I (contracting through intake)	1	Multimedia presentations, lecture, hands on exercises (SimChart Clinical )
Session 35: Claims Process Part II (through claim submission)	1	Multimedia presentations, lecture, hands-on exercises (calculations)
Session 36: Claims Process Part II (transmission through posting payments )	1	Multimedia presentations, lecture, individual hands-on activities (SimChart)
Session 37: Claims Process Part III (Denials, Appeals and Reports)	1	Demonstration, Group activity, Individual exercises
Session 38: The 1500 Claim	1	1500 hands-on claim completion
Session 39: Claim and Coding Connections	1	Discussion, group activity, individual exercises
Session 40: Consolidating Claims information, Review, Quiz	1	Correcting Claim errors, Discussion, SimChart individual exercises, Quiz on RCM
Total	10	30 hours

Module 2: Health Insurance (30 hrs)

Materials: Google Classroom slides, website library, and video library

This module is designed to train the medical biller and coder in healthcare insurance payers and payment systems. Commercial insurance, government insurance, and liability insurance are covered.

Topics

3hr

session

Activity

Session 41: Managed Care Part I (History of Insurance, Commercial Insurance Plans)

Multimedia presentations, group activities, group discussions,

Session 42: Managed Care Part II (Elements of Managed Care)

Discussion, Exercises, Reporting

Session 43: Commercial Insurance claims	1	Multimedia, lecture, Hands On (SimChart and Claims exercises)
Session 44: Medicare Part I: Introduction to Medicare	1	Multimedia, Lecture, Hands on (SimChart front end and clinical) exercises
Session 45: Medicare Part II: Understanding details of Medicare and its Regulation	1	Multimedia presentations, lecture, hands on exercises (SimChart Clinical )
Session 46: Medicaid and SCHIP	1	Multimedia presentations, lecture, hands-on exercises (calculations)
Session 47: Tricare	1	Multimedia presentations, lecture, individual hands-on activities (SimChart)
Session 48: Liability Insurance	1	Lecture, multimedia, hands on activity with liability reports
Session 49: Medical Policies and Correct Coding Initiative	1	Correcting Claim errors, Discussion, SimChart individual exercises
Session 50: Consolidating Insurance Information, Review, Quiz	1	Group contest, Discussion, Quiz on RCM
Total	10	30 hours

Compliance and Legal Responsibility (15 hours)

Materials: Google Classroom slides, video and link library.

This program has presented the foundations for understanding the human body and the terminology associated with health and disease, then the translation of medical records to codesets, followed by an understanding of the healthcare revenue cycle and the payer types that reimburse claims. The next step in becoming a medical billing and coding professional is to understand the legal and ethical responsibilities of the field.

Topics	3 hr session	Activity
Session 51: HIPAA	1	Discussion, Peer Review, Exercises,online visual presentation materials
Session 52: Other Laws related to coding and RCM	1	Discussion, Exercises, online visual presentation materials
Session 53: Compliance	1	Discussion, online visual presentation materials, Exercises,
Total	5	15 hours

NHA Test Prep and Review (10 hours)

Topics	3 hr. session	Activity
Session 54: Getting set up to test, Practice Test I	1	Demonstration and hands on practical activity; Group and individual practical exercise
Session 55: Continuing Practice Test I	1	Group and individual practical exercise
Session 56: Review Practice Test results and make a personal review plan	1	Group and individual practical exercise
Final Exam	1/3	Compliance exam online, all late submission exercises due.
Total	3.3	10 hours