Course Content
Module 1- Introduction to Healthcare and Medical Terminology
This section provides a foundational understanding of medical billing and coding, its importance in healthcare, and key industry terminologies. Titles & Summaries: Overview of Medical Billing and Coding – Understanding the role of billing and coding in healthcare revenue cycle management. Medical Terminology Essentials – Learning the key medical terms, abbreviations, and definitions. Healthcare Settings and Documentation – Exploring different healthcare environments and the importance of medical records. Introduction to ICD-10, CPT, and HCPCS Codes – Understanding coding classifications and how they are used.
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History and Importance of Medical Billing and Coding
03:19
Common Medical Terminology Breakdown
13:27
Role of Medical Documentation in Billing
Claim Submission Process – Elaborated with Examples
01:24
ICD-10 Conventions and Coding Rules
Research and present a summary on HIPAA regulations and their impact
Basic Healthcare Terminology
Module 2: Medical Coding Systems
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I. Lesson Overview (5 minutes)
02:35
II. Core Content: Medical Code Systems (30 minutes)
01:56
III. Practical Application and Examples (15 minutes)
IV. Q&A and Review (10 minutes)
Identifying and Correcting Common Coding Errors
Module 3: Claim Submission Process – Elaborated with Examples
Core Focus: This lesson provides a comprehensive understanding of the healthcare claim submission process, from patient registration to final payment or denial. It emphasizes the importance of accuracy, efficiency, and compliance in ensuring timely reimbursement for healthcare providers.
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1. Understanding the Claim Lifecycle
2. Data Capture and Documentation
3. Claim Forms and Formats
4. Claim Submission Methods
5. Claim Adjudication and Processing
6. Claim Tracking and Follow-Up
7. Denial Management
Denial Reasons
00:10:00
Module 4: CPT Coding
Overall Goal: To equip students with the foundational knowledge and practical skills necessary to accurately assign CPT codes for medical procedures and services, understanding their crucial role in healthcare billing and data reporting. Key Learning Objectives (Expanded and with Examples):
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1. Understanding the Purpose and Structure of CPT
2. CPT Coding Fundamentals:
3. Introduction to CPT Sections
4. Introduction to CPT Modifiers
5. Basic Coding Guidelines
6. Practical Application
Comprehensive Medical Billing and Coding Course – Part 1

A. ICD-10 (International Classification of Diseases, 10th Revision) (10 minutes)

  • Purpose: Diagnostic coding for diseases, injuries, and conditions.
  • Structure: Alphanumeric codes, including chapters, sections, and categories.
  • Application: Used to report diagnoses on healthcare claims.
  • Explain the difference between ICD-10-CM, and ICD-10-PCS.
  • Provide examples of common ICD-10 codes.

B. CPT (Current Procedural Terminology) (10 minutes)

  • Purpose: Procedural coding for medical, surgical, and diagnostic services.
  • Structure: Numeric codes, including categories and modifiers.
  • Application: Used to report services performed by healthcare providers.
  • Explain the three categories of CPT codes.
  • Provide examples of common CPT codes.

C. HCPCS (Healthcare Common Procedure Coding System) (10 minutes)

  • Purpose: Coding for products, supplies, and services not covered by CPT.
  • Structure: Alphanumeric codes, including Level I (CPT) and Level II (national codes).
  • Application: Used to report durable medical equipment, medications, and other services.
  • Explain the difference between level I and Level II HCPCS codes.
  • Provide examples of common HCPCS codes.
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