Certificate in Medical Claim Processing and Coding
-- ViewingNowCertificate in Medical Claim Processing and Coding: A Comprehensive Course for Career Advancement The Certificate in Medical Claim Processing and Coding course is a precise and industry-focused program designed to equip learners with essential skills in healthcare reimbursement and coding. This course is crucial for individuals who aspire to thrive in the healthcare industry, where accurate processing and coding of medical claims are paramount.
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โข Medical Terminology: Understanding medical terminology is essential for accurate coding and processing of medical claims. This unit covers basic medical terms, prefixes, suffixes, and root words. โข Anatomy and Physiology: A strong foundation in anatomy and physiology helps medical coders understand the body systems and how they relate to medical procedures and diagnoses. โข ICD-10 Coding: ICD-10 coding is a system used to classify diseases and other health problems. This unit covers the principles of ICD-10 coding, code structure, and application. โข CPT Coding: CPT coding is a system used to report medical, surgical, and diagnostic procedures and services. This unit covers the principles of CPT coding, code structure, and application. โข HIPAA Compliance: HIPAA is a federal law that requires the protection of patient health information. This unit covers HIPAA regulations, compliance requirements, and penalties for non-compliance. โข Medical Billing and Reimbursement: This unit covers the basics of medical billing and reimbursement, including insurance contracts, fee schedules, and claim submission and processing. โข Medical Record Keeping: Proper medical record keeping is essential for accurate coding and billing. This unit covers the principles of medical record keeping, including documentation requirements and best practices. โข Appeals and Audits: This unit covers the appeals and audit process for medical claims, including the reasons for claim denials, the appeals process, and the role of audits in quality improvement.
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