Medical Billing & Coding
C E R T I F I C A T I O N P R O G R A M
Cost: $1,799
THREE SESSIONS OFFERED!
January 2
- April 1, 201
June
– August 2, 201
September 1
- December 1, 201
Time: Tuesday & Thursday, 6:00 - 9:30 p.m.
Location: Learning Resource Center, Room 314
3086 Mobile Highway
Total Hours: 80
C O N T I N U I N G E D U C A T I O N
Post Office Box 10048 • 1225 Air Base Boulevard • Montgomery, AL 36108
For more information, call 334-420-4240.
Medical Billing & Coding Program – TST
Tuition - $1,799; Total Hours – 80
Tuesday
January 2
6:00pm - 9:30pm
Thursday
January
6:00pm - 9:30pm
Tuesday
February
6:00pm - 9:30pm
Thursday
February
6:00pm - 9:30pm
Tuesday
February 1
6:00pm - 9:30pm
Thursday
February 1
6:00pm - 9:30pm
Tuesday
February 1
6:00pm - 9:30pm
Thursday
February
6:00pm - 9:30pm
Tuesday
February 2
6:00pm - 9:30pm
Thursday
February 2
6:00pm - 9:30pm
Tuesday
March
6:00pm - 9:30pm
Thursday
March
6:00pm - 9:30pm
Tuesday
March 1 :00pm - 9:30pm
Thursday
March 1
6:00pm - 9:30pm
Tuesday
March 1
6:00pm - 9:30pm
Thursday
March
:00pm - 9:30pm
Tuesday
March 2
6:00pm - 9:30pm
Thursday
March 2
6:00pm - 9:30pm
Tuesday
0DUFK
6:00pm - 9:30pm
Thursday
April
:00pm - 9:30pm
Tuesday
April
6:00pm - 9:30pm
Thursday
April
6:00pm - 9:30pm
Tuesday
April 1
6:00pm - 9:30pm
Thursday
April 1
6:00pm - 9:30pm
Medical Billing & Coding Program – TST
Tuition - $1,799; Total Hours – 80
Tuesday
June
6:00pm - 9:30pm
Thursday
June 1
6:00pm - 9:30pm
Tuesday
June 1
6:00pm - 9:30pm
Thursday
June 1
6:00pm - 9:30pm
Tuesday
June 2
6:00pm - 9:30pm
Thursday
June 2
6:00pm - 9:30pm
Tuesday
JXQH
:00pm - 9:30pm
Thursday
July :00pm - 9:30pm
Tuesday
July
6:00pm - 9:30pm
Thursday
July
6:00pm - 9:30pm
Tuesday
July 1
6:00pm - 9:30pm
Thursday
July 1
6:00pm - 9:30pm
Tuesday
July 2
6:00pm - 9:30pm
Thursday
July 2
6:00pm - 9:30pm
Tuesday
July 2
6:00pm - 9:30pm
Thursday
July 3
6:00pm - 9:30pm
Tuesday
August
6:00pm - 9:30pm
Thursday
August
6:00pm - 9:30pm
Tuesday
August 1
6:00pm - 9:30pm
Thursday
August 1
6:00pm - 9:30pm
Tuesday
August 1
6:00pm - 9:30pm
Thursday
August 2
6:00pm - 9:30pm
Tuesday
August 2
6:00pm - 9:30pm
Thursday
August 2
6:00pm - 9:30pm
Medical Billing & Coding Program – TST
Tuition - $1,799; Total Hours – 80
Tuesday
September 1
6:00pm - 9:30pm
Thursday
September 1
6:00pm - 9:30pm
Tuesday
September 2
6:00pm - 9:30pm
Thursday
September 2
6:00pm - 9:30pm
Tuesday
September
6:00pm - 9:30pm
Thursday
October
6:00pm - 9:30pm
Tuesday
October
6:00pm - 9:30pm
Thursday
October
6:00pm - 9:30pm
Tuesday
October 1
6:00pm - 9:30pm
Thursday
October 1
6:00pm - 9:30pm
Tuesday
October 2
6:00pm - 9:30pm
Thursday
October 2
6:00pm - 9:30pm
Tuesday
October 2
6:00pm - 9:30pm
Thursday
October
6:00pm – 9:30pm
Tuesday
November
6:00pm - 9:30pm
Thursday
November
6:00pm - 9:30pm
Tuesday
November 10 6:00pm - 9:30pm
Thursday November 12 6:00pm - 9:30pm
Tuesday
November 17
6:00pm - 9:30pm
Thursday
November 19
6:00pm - 9:30pm
Tuesday
November 24
6:00pm - 9:30pm
NO CLASS
November 26
NO CLASS
Tuesday
December 1
6:00pm - 9:30pm
Thursday
December 3
6:00pm - 9:30pm
Tuesday
December 8
6:00pm - 9:30pm
Medical Billing and Coding Program
This combined 80 hour billing and coding course offers the skills needed to solve insurance billing
problems, how to manually file claims (using the CPT and ICD-9 manual), complete common
insurance forms, trace delinquent claims, appeal denied claims and use generic forms to streamline
billing procedures. The course covers the following areas: CPT (Introduction, Guidelines,
Evaluation and Management), specialty fields (such as surgery, radiology and laboratory), ICD-9
(Introduction and Guidelines) and basic claims processes for medical insurance and third party
reimbursements. Students will learn how to find the service and codes using manuals, (CPT, ICD-9
and HCPCS). After obtaining the practical work experience (6months to 2 years), students who
complete this course could be qualified to sit for the American Academy of Professional Coders
(AAPC) - Certified Professional Coder Exam (CPC or CPC-H Apprentice); the American Health
Information Association (AHIMA) Certified Coding Associate (CCA) exam; and/or other National
Certification Exams
Course Contact Hours – 80 hrs.
Fee: $1,799 (Textbooks included)
Summary of Health Care Training Programs & Exam Information:
Medical Billing & Coding
Medical Billing and Coding is one of the fastest growing careers in the health care industry today! The need for
professionals that understand how to code health care services and procedures for third party insurance reimbursement
is growing substantially. Physician practices, hospitals, pharmacies, long-term care facilities, chiropractic practices,
physical therapy practices and other health care providers all depend on medical billing and coding for insurance carrier
reimbursement. With the complexity of the US health care system, the need for health care administration professionals
with both office and specialized medical billing and coding skills is growing substantially.
Certification Exams:
American Academy of Professional Coders (AAPC) - Certified Professional Coder Exam (CPC or
CPC-H - Apprentice); the American Health Information Management Association (AHIMA)
Certified Coding Associate (CCA) exam; and/or other National Certification Exams.
Exam Requirements:
American Academy of Professional Coders (AAPC) - Certified Professional Coder Exam (CPC or CPC-H - Apprentice)
In order to sit for AAPC – CPC exam, you must be a member of the AAPC (cost $85) and pay the
exam cost of $285. Students who take our Medical Billing & Coding program may sit for the CPC
exam. Applicants currently lacking the CPC requirements (as defined below) including 1) two
years coding experience and 2) letters of recommendations verifying coding employment may sit
for the “CPC–H exam”. Those who pass the CPC-H exam will be awarded the “CPC Apprentice” or
“CPC-H Apprentice” designation and will maintain such until required work experience and letters
of recommendation have been met. Once a CPC-Apprentice coding professional meets these
requirements, they will secure full CPC status.
The exam is offered at multiple times throughout the year. Each student will be provided and
application for the exam during class. For more information the American Academy of
Professional Coders (AAPC) can be found at
www.aapc.com
or call 800-626-2633 for additional
details.
American Health Information Management Association (AHIMA) Certified Coding Associate (CCA) exam
The cost to sit for the AHIMA – Certified Coding Associate exam is $195 for members and $250
for non-members. Students who take our Medical Billing & Coding program may sit for the CCA
exam. To sit for the exam you must have a high school diploma or have passed the GED.
The exams are offered on the computer and may be taken at H&R Block offices around the country
at 9AM or 1:30PM. American Health Information Management Association (AHIMA) can be
found at
www.ahima.org
OR call (312) 233-1100.
Important Note: Most coding national certification exams are very challenging and we
recommend that all students who take National Coding Certification exams obtain 1 to 2 years of
practical experience prior to taking a coding exam.
Medical Billing and Coding Professional – 80 Hours
Medical Billing and Coding Professional
Medical billing and coding professionals keep
records, calculate patient charges and review files.
Duties include: reviewing records; calculating
charges for a patient’s procedure and service and
preparing itemized statements and submitting claims
to third party payers. Medical Coders are responsible
for the collection of physician charges and patient
data to ensure that claims are submitted to insurance
carriers accurately and in the most efficient and
expeditious manner.
Additionally, Medical Coders determine codes for
physician procedures and diagnosis - using ICD-9
and CPT-4 coding protocols - for third party billing
purposes.
Medical Billing & Coding Professional –
Employment & Education
Medical Billing and Coding is one of the fastest
growing careers in the health care industry today!
The need for professionals that understand how to
code health care services and procedures for third
party insurance reimbursement is growing
substantially. Physician practices, hospitals,
pharmacies, long-term care facilities, chiropractic
practices, physical therapy practices and other health
care providers all depend on medical billing and
coding for insurance carrier reimbursement.
Educational Requirements*
People interested in becoming Medical Coders or pursuing national certification should have a high school diploma or GED equivalent. Also, Certain National Medical Coding Certification exams are very complex and may require 6 months to 2 years of suggested practical coding experience prior to taking the exam or being recognized as a certified medical coding professional.
Medical Billing and Coding Program
This 80 hour course offers the skills needed to solve
insurance billing problems, how to manually file
claims (using the CPT and ICD-9 manual), complete
common insurance forms, trace delinquent claims
(EOB’s) and use generic forms (CMS 1500) to
streamline billing procedures. The course covers the
following areas: CPT (introduction, guidelines,
evaluation and management), specialty fields (such as
surgery, radiology and laboratory), ICD-9
(introduction and guidelines) and basic claims
process for medical insurance and third party
reimbursement. Students will learn how to find the
service codes using coding manuals, (CPT & ICD-9).
After obtaining the suggested practical work
experience, students who complete this course could
be qualified to sit for the American Academy of
Professional Coders (AAPC) - Certified Professional
Coder Exam (CPC or CPC-H - Apprentice); the
American Health Information Management
Association (AHIMA) Certified Coding Associate
(CCA) exam; and/or other National Certification
Exams.
Medical Billing and Coding Detailed Course
Information
♦ a career as an insurance coding specialist
♦ documentation guidelines and legal issues affecting insurance claims and medical records
♦ basics of health insurance and procedural coding ♦ introduction to CPT Manual
♦ evaluation and management services ♦ Anesthesia/Surgery, Radiology and
Pathology/Laboratory Medicine ♦ Diagnosis Coding
♦ CPT Modifiers, E and V Codes and Late Effects ♦ Introduction to International Classification of
Diseases, Clinical Modifications, Coding Guidelines ♦ The Health Insurance Claim Form (CMS 1500) ♦ HIPAA and Electronic Date Interchange (EDI) ♦ Tracing Delinquent Claims and Insurance Problem
Solving
♦ Managed Care Systems and Special Plans & Third Party Reimbursement, Medicare, Blue Cross-and Blue Shield Plans, Medicaid and Other State Programs, CHAMUS and CHAMPVA, Worker’s Compensation, Disability Income Insurance and Disability Benefit Programs
♦ This entry level course does not require the use of a computer as the focus of a coding professional is the proper use of coding and the related coding manuals
Learning Objectives & Outcomes
Medical Billing and Coding Program – 80 Hours
Lecture Topics Detailed Overview
Medical Terminology Human Anatomy and Physiology
Basic Word Structure, Organization of the Body and the Body Systems, Suffixes, Prefixes, Medical Specialists and Case Reports, Diagnostic Tests and Procedures, Abbreviations and symbols, Glossary of Medical Terms and Glossary of Word Parts
Introduction to the CPT The CPT Manual Format, The Placement of CPT codes on the CMS-1500 Insurance Form, Symbols used in the CPT, Understanding the Importance of Modifiers, The Use of Guidelines and Notes, Unlisted Procedures and Services and the use of the Special Report , Review of Category II and III CPT Codes, Using the CPT Appendices Evaluation and Management
Coding The Three Factors of E/M Code Assignment, The New and Established Patient, Inpatients and Outpatients, Levels of E/M Services, History, Examination and Medical Decision Making, Contributing Factors, Analyzing Contributing Factors, Analyzing Types of E/M Codes, CMS Documentation Guidelines, Coding EM Services Coding for Anesthesia Services
The Use of Modifiers Understanding the Format of the Anesthesia CPT Coding, The Anesthesia Billing Formula, Coding for Anesthesia Services, Using HCPS Modifiers, Purpose of CPT modifiers and Assigning CPT Modifiers The Use of the Surgery
Sections and coding for the Integumentary System
Fracture Treatment Types, Coding for Types of Tractions, Elements of Arthroscopic Procedures, Cast Applications and Strapping Procedures, Code Musculoskeletal Services and Procedures
Coding for Procedures and Services of the Respiratory System
Terms that Apply to Coding the Respiratory System, Endoscopy, Incision and Excision, Removal of a Foreign Body, Sinuses, the Larynx, Trachea and Bronchi, Lungs and Pleura, and Thoracentesis and Thoracoplasty Surgical Procedures of the
Cardiovascular System Coding Angiography, Electrophysiology, Pericardiocentesis, Pacemakers and Pacing Cardioverter-Defribrillator, Operative Procedures Performed on Cardiac Valves, Coronary Bypass Surgery and Selective and Nonselective Placement, Vascular Access and Injections Procedures, Cardiac Catheterizations, Electrophysiologic Procedures
How to Code for the Female Genital System and Maternity Care and Delivery
Coding for Colpotomy, Hysterectomy, Dilation and Curettage, Using Incision and Destruction Codes in the Vulva, Perineum, and Introitus, The Global Maternity and Delivery Packages for Insurance Purposes, Coding for Female Genital and Maternity Care and Claims Submission
Coding For General Surgery Coding for the Male Genital System, Repair of the Chordee Hypospadias, Coding for the Urinary System including Kidney, Ureters, Bladder and Urethra, Correct Coding for the Digestive System, Resections and Endoscopic Procedures, Understanding the Hemic and Lymphatic Systems, Surgery of the Skull Base, Spine and Spinal Cord Coding for Radiology Services Radiology Terminology and Major Components for Coding Computed Tomography, Magnetic Resonance
Angiography, Mammography, Ultrasound, Radiation Treatment Delivery, and Clinical Brachytherapy. Systems for Coding Pathology
and Laboratory Services Organ and Disease Orientated Laboratory Panels, Drug Assays, Coding for Chemistry, Hematology, Coagulations, Immunology, Microbiology, Surgical and Pathology Coding for Diagnostic and
Therapeutic Services and the Level II National Codes
Immunization and Administration of Vaccines and Toxoids, Prophylactic and Diagnostic Injections and Infusions. Coding of Psychiatry, Dialysis, Ophthalmology, Cardiac Catheterizations. Using National Level I, II, and III Codes Using ICD-9-CM Codes Understanding ICD-9-CM, Official Guidelines for ICD-9-CM Application, ICD-9-CM Formats and Conventions,
Volumes I, II, and III. Etiology and Manifestation of Disease and How it Relates to ICD-9-CM Coding. ICD-9-CM Coding Applications for Hypertension, Neoplasms, Drugs and Chemicals, Diseases and Illnesses of the Eleven Body Systems, V Codes, E Codes, Morphology of Neoplasms, Mental Disorders, Outpatient and Inpatient Coding Guidelines
Third Party Reimbursement
Issues The Basic Structure of the Medicare System, The Importance of the Federal Register, Diagnosis Related Groups (DRGs), Peer Review Organizations (PROs), What is the Outpatient Resourced-Based Relative Value Scale (RBRVS), The Prospective Payment System for the Skilled Nursing Facility, Outpatient Medicare Reimbursement System (APC), Medicare Fraud and Abuse, The Managed Healthcare Concept, Connecting the ICD-9-CM and the DRG, Accurate Claims Submission to the Third-Party Payer, Account Receivable, Accounts Payable, Denials, Errors in Claim Submission, Discussion of HIPAA for Confidentiality and Billing, Billing Place of Service, Type of Service and Patient Status Correctly, Proper medical record documentation to support your billing, Rules and Guidelines for Selecting the Correct Code to Bill Properly for Services Rendered by the Provider in a Medical Office, Outpatient facility, or Inpatient Facility. Internal Audits to Prevent Fraud in Connection to Medical Billing. Describes the Uniform Hospital Discharge Data Set Used for Establishing a Uniform Billing System. Patient Account Maintenance.
Lab Skills Demonstrates accurate code selection of National Level Codes I, II, III, ICD-9-CM Codes (Volumes I, II, and III) for services and procedures performed in Office and Other Outpatient Facilities, Ambulatory Care, Skilled Nursing Facility, Emergency Department, Inpatient, Observation, Consultations, Pediatric and Critical Care Services, Subsequent Nursing Care, Domiciliary, Rest Home or Custodial Care, and Home Services. Demonstrates a clear understanding of correct claims submission rules, follow up, patient account maintenance, internal claim audit, third-party claims submission rules and regulations, fraud and abuse, the Federal Register, Medicare/ Medicaid, APC, RBRVS, PROs, DRGs, managed care, professionalism, and an understanding and applying human anatomy and medical terminology.
National Certification Exams After successful completion of the program, graduates are encouraged to obtain a minimum of 6 months to 2 years hands on experience prior to sitting for national coding certification exams. Students are given pertinent
information regarding the exam application process. Students pursuing certification must apply directly with the organization that governs the certification of interest:
American Academy of Professional Coders (CPC) Website: www.aapc.com
ELIGIBILITY
Admission to Continuing Education programs is open to all students unless the class is specifically designed for a
limited age group. There are no educational requirements for most courses.
REQUIREMENTS FOR REGISTRATION
Register early to ensure seating in our limited enrollment classes. We advise early registration as enrollment is on
a “first come, first served” basis. Tuition must be paid in full at the time of registration. Please keep your receipts
for verification. Registration is incomplete until all fees are paid in full.
REGISTRATION OPTIONS
Mail the completed registration form along with your check or money order to:
Continuing Education Division
H. Councill Trenholm State Technical College
Post Office Box 10048
Montgomery, AL 36108
Make checks payable to Trenholm State Technical College. Postdated checks are not accepted.
Phone
You may use Discover, MasterCard or Visa to register. Please call (334) 420-4240.
Fax
Fax a completed registration form with a Visa, MasterCard, Discover, or purchase order number with billing
information to (334) 420-4236.
In Person
Bring the completed registration form to the Office of Continuing Education, Learning Resource
Center, Fourth Floor, Room 410, 3086 Mobile Highway. Office hours are Monday - Thursday, 7:30 a.m. - 5:30 p.m.,
Friday, 7:30 a.m. - 11:30 a.m.
REFUNDS/CANCELLATIONS POLICY
If you withdraw for any reason before the first class meeting, a refund minus a 5 percent administrative processing
fee will be mailed. We must receive your refund request in writing at least 24 hours before the class begins.
Please include your name, social security number and course name in this request. No refunds will be given
after the first class meeting. All registration will automatically be refunded in full for class cancellations
due to insufficient enrollment. The Continuing Education office reserves the right to cancel any class that does
not have a minimum of ten (10) registrants. Information will include the date, time and location of the course.
Every effort is made to notify students of course cancellations by phone or e-mail prior to the start of classes.
NON-SUFFICIENT FUND CHECK POLICY
If your check is returned because of insufficient funds in your account, there is a $30.00 fee. The check will be
submitted to the proper authorities for collection. You may be subject to additional fees.
For more information, please visit our website at www.trenholmstate.edu and go to Continuing Education from the
main menu.
Registration Information
Call for more information TODAY!
(334) 420-4240
Name: Last First Middle Maiden
Address:
City State Zip County
Education Level: GED High School Diploma College Gender: Male Female
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T r e n h o l m C a m p u s
Post Office Box 10048 Montgomery, AL 36108(334) 420-4240 Fax (334) 420-4236 www.trenholmstate.edu
P a t t e r s o n C a m p u s
Post Office Box 10048 Montgomery, AL 36116(334) 420-4240 Fax (334) 420-4236 www.trenholmstate.edu
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AYMENTM
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