Curriculum
Instruction Pack I: Introduction to Medical Billing
In Pack 1, students explore the roles of various healthcare professionals. Additionally, students discover the role medical records play in a billing specialist’s job and gain a basic understanding of electronic records. They begin learning medical terminology using a unique word-building system to help them interpret new terms.
Instruction Pack II: Medical Terminology, Ethics and Reimbursement
Pack 2 rounds out the important work of mastering medical vocabulary using a word-building system. After examining important ethical and legal issues that they may encounter, students wrap up by learning about the history and development of healthcare reimbursement.
Instruction Pack III: Coding for the Medical Biller and Medical Insurance
Pack 3 begins with the history and development of the various coding systems. Then, students gain an overview of private insurance, managed care, and government programs. Finally, the details of military insurance and workers’ compensation are reviewed.
Instruction Pack IV: Medical Claims Processing
This pack introduces students to one of the most common insurance claim forms—the CMS-1500. Students get extensive, hands-on practice completing the CMS-1500 form and interpreting explanations of benefits, as well as completing secondary claims. Students then explore how to deal with insurance follow-up, denials, and aging. Finally, students learn to complete a claim using a cloud-based medical billing software.
