Communication Skills
This course uses an online learning platform called Moodle in conjunction with textbook, online resources, and material passed out by instructors. Each student is also provided access to the SIMnet online learning and assessments tools, with instructions for how to access these tools located inside the front cover of the textbook. Inside the Moodle for your class will be all the resources and course materials needed for this course. Any files, recommended readings, and templates will be attached to the corresponding assignment. Blue hyperlinks attached to assignments will bring you directly to the materials or resource that is required or recommended for the completion of any assignment. Microsoft Office suites is provided free of charge and preloaded on the laptop that is also provided free of charge. Access to Microsoft office products requires the creation of an account, please ask your instructor for help logging in the first time.
Information Technologies
This subject provides a brief overview of computers, computer parts, printers, fax machines, external hard drive, and other electronic devices. Students learn how computers are connected to the Internet and how various information resources in the World Wide Web are accessed for business use. Students will learn networking, Internet protocols, URL system, WWW resources.
Microsoft Word - Basics
This subject introduces students to Microsoft Office Word 2016. Students will learn how to compose letter, typing memos and fax messages. They will also learn how to type a report, insert tables, pictures, borders, and page setup among others. They will practice creating visually impacting documents, as well as creating labels and business cards.
Microsoft Word-Advanced
This subject teaches advanced features on Microsoft Office Word program. Students will create a newsletter, create a research paper, and create a mail merge document.
Microsoft Excel - Basics
This subject introduces students to Microsoft Office Excel 2016 package. Students will learn the basic functions of spreadsheet, familiarize with menu bars, and create worksheets. They will also learn features such as using mathematical functions and formulas, drawing charts, formatting tables and generating reports.
Microsoft Excel -Advanced
This subject teaches advanced features on Microsoft Office Excel program. Students will learn formatting and functions, extracting of data, Pivot Tables, trend lines, and shared workbooks.
Microsoft PowerPoint - Basics
This subject helps students in making visually impacting presentation using Microsoft Office PowerPoint 2016 software. Students will learn how to create a presentation, develop by adding tables, inserting clip art, animation, and other features.
Microsoft PowerPoint - Advanced
This subject teaches advanced features on Microsoft Office PowerPoint program. Students learn more advanced techniques in PowerPoint such as working with slide masters, creating new design templates or themes, automate presentations, rehearse the timings, copy or move slides between presentations.
Office Administrative Procedures
This course is designed to introduce students to office procedures such as record keeping, scheduling, insurance billing, legal issues, etc. Students will learn how to organize files, prepare documents, schedule appointments. This subject also includes instruction in business laws, data entry, office equipment operation and maintenance, public relations, secretarial accounting, records storage and management.
Medical Terminology
In this course, you will get familiar with medical terms, including prefixes, root words, and suffixes. Students will study the provider and medical abbreviations as well as diseases and treatment methodologies. This course will emphasize studying the following body systems: urinary, integumentary, musculoskeletal, respiratory, cardiovascular, digestive, reproductive, nervous, endocrine, eyes, ears, nose and throat.
Medical Office Administration
This course is designed to introduce the beginning student to the basic principles of insurance terminology, health insurance and medical billing. In addition, the student will contemplate the impact of health insurance on today’s economy. We will also cover the different departments within an insurance company and operations. This phase will also give the student the opportunity to understand the importance of legal issues that affect the medical biller and health claims examiner. Students will be taught fundamentals of health information technology to provide them with the importance of written communication skills, accounts receivable management, supportive documentation, and customer service.
Introduction to Coding
Health Claim Forms
This course is designed to provide the student with the understanding and practical skills necessary to abstract relevant information from the medical records for completing the CMS-1500 claim form, as well as completely expediting the logins and processing of different types of medical forms. Students will study general guidelines for completing forms for different carriers to include: Medicare, Medicaid, and Workers’ Comp. This course will teach the student the knowledge necessary to optimize payment in a timely and cost efficient manner. The students will study the difference between clean, pending, rejected, incomplete and invalid claims and describe the reasons why claims were rejected. This course will also provide the student with the necessary skills to understand and complete the UB-92 claim form and to know when it may or may not minimize their chances of rejection by insurance carriers.
Introduction to Health Claim Examining
This course will introduce the student to the theory and practical skills necessary to process health insurance claims to include CMS-1500 and UB-92 as a health claims examiner. Additionally, the students will learn the difference between insurance companies and third party administrators. Students will be taught the basic concepts of medical billing practices of the areas that will be covered are: verification of eligibility, claims inventory, deductibles, provider billing, claims investigation, coordination of benefits, legislation and insurance riders. Emphasis will be placed on the premise that guidelines presented are generally accepted standards within the industry.
Health Claim Examining & Processing
The current employment environment for administrative staff in physician practices reflects the pressures of decreasing provider compensation, rising costs for medical services and for employer and employee medical insurance, increased governmental regulation, increased public awareness of healthcare issues, and increased reimbursement complexity. These elements underpin the changes that occur almost daily in physician/patient relations and related billing/reimbursement issues, so students need to understand this background. They also need to develop the ability to analyze problems, identify the information that is required, research/abstract that information, determine the best course of action, and work in a team to communicate information and share results. Students begin their understanding of the work and the employment environment of medical insurance and billing.
Entries and Special Claims Examining
The current employment environment for administrative staff in physician practices reflects the pressures of decreasing provider compensation, rising costs for medical services and for employer and employee medical insurance, increased governmental regulation, increased public awareness of healthcare issues, and increased reimbursement complexity. These elements underpin the changes that occur almost daily in physician/patient relations and related billing/reimbursement issues, so students need to understand this background. They also need to develop the ability to analyze problems, identify the information that is required, research/abstract that information, determine the best course of action, and work in a team to communicate information and share results. Students begin their understanding of the work and the employment environment of medical insurance and billing.
Advanced Coding
Student will study the coding of more complex diagnostic and procedural statements. This subject will cover clinical information regarding specific disease processes, more advanced diagnostic and procedural terminology, detailed instruction exploring the CPT book section by section builds upon previous basic knowledge of payer reimbursement guidelines for optimal reimbursement. Understanding how to use the medical record to provide necessary information essential to the assignment of accurate codes will be covered. Students will recognize when multiple coding is required, when it is recommended and when it should not be used. Class room work will involve coding signs and symptoms, V-codes, infectious disease, neoplasm, endocrine, nutritional and metabolic diseases of the blood and blood-forming organs, mental disorders, diseases of the nervous systems and sense organs, circulatory, respiratory, digestive, and genitourinary system as well as diseases of the musculoskeletal system and connective tissue injuries, complications of surgical and medical care, and external causes of injury will be covered.
Medical Record Coder Clinical Practice
In this subject students will learn managed care systems, and special plans, collection policies, tracing delinquent claims, insurance problem solving, and the appeal process of Medicare and Medicaid. Students will learn coding and billing compliance for medical practices. Review current practices with respect to ICD-9/10-CM diagnosis and CPT-4 procedure coding and modifier knowledge for the generation of medical visit APCs. Practical work will also include the coding and more complex diagnostic and procedural statements in complication of pregnancy, childbirth, congenital abnormalities, and certain condition arising on the prenatal period.
Medical Terminology
In this subject, students get familiar with medical terms, including prefixes, root words, and suffixes. Student learn medical abbreviations as well as disease, psychology and treatment methodology. This subject emphasizes in studying the terminologies for the following body systems: urinary, integumentary, musculoskeletal, respiratory, cardiovascular, digestive, reproductive, nervous, endocrine, eyes, ears, nose and throat.
Med Anatomy & Physiology
This subject is designed for students to learn the structure and function of human anatomy, including the integumentary, musculoskeletal, digestive systems, including the neuroendocrine, urinary, reproductive, respiratory, and Circulatory systems.
