Medical Coding and Billing Course

Modules:

Module Module 1: Introduction to Medical Coding and Billing

• Overview of the healthcare industry and its regulatory framework

• Role and importance of medical coding and billing in healthcare administration

Module 2: Healthcare Systems and Terminology

• Understanding healthcare delivery systems

• Medical terminology and anatomy for accurate coding

Module 3: Introduction to Medical Coding

• Overview of medical coding systems (e.g., ICD-10, CPT, HCPCS)

• Coding guidelines and conventions

Module 4: CPT Coding for Procedures

• Comprehensive study of Current Procedural Terminology (CPT) coding

• Practical application of CPT coding principles

Module 5: ICD-10 Coding for Diagnoses

• In-depth exploration of International Classification of Diseases, 10th Edition (ICD-10) coding

• Coding scenarios for accurate diagnosis coding

Module 6: HCPCS Level II Coding

• Understanding Healthcare Common Procedure Coding System (HCPCS) Level II codes

• Application of HCPCS codes in billing and reimbursement

Module 7: Coding Compliance and Regulatory Guidelines

• Ensuring coding accuracy and compliance with healthcare regulations

• Ethical considerations in medical coding and billing

Module 8: Medical Billing Process

• Overview of the medical billing cycle

• Submission of claims, reimbursement, and denial management

Module 9: Health Insurance and Payer Systems

• Understanding health insurance plans and coverage

• Interactions with various payer systems and reimbursement models

Module 10: Electronic Health Records (EHR) and Coding Software

• Utilizing Electronic Health Record systems in coding and billing

• Introduction to coding software and tools for efficiency

Practical Application and Case Studies

• Applying ITIL concepts to real-world scenarios

• Analyzing case studies for practical insight into ITIL implementation