CODING AND BILLING SYLLABUS

The Final Exam – This test is necessary to receive a Certificate of Completion. Depending on your final score, certificate and/or letters are provided. The final will provide you the look and feel of a real employer exam. If you pass our final exam, you will pass almost any employer exam.

Final Exam for CD Version of the Courses The Final Exam is included in the cost of the online courses. If you choose to do a course via the CD option, it is $89.00 to take the final exam.

*** All coding courses, or courses that include coding require the purchase of two reference books from an outside source. You may also purchase a used inexpensive edition anywhere online instead of the new edition. ***http://www.unicormed.com/store/2015-cpt-books/ – SELECT THE 89.95 EDITION and http://www.unicormed.com/store/principles-of-icd-9-coding/

No extra books are required for the ICD-10 standalone course.

 


BILLING COURSE

Medical billing and health insurance specialist are combined in this course. A section of the Billing Course includes an overview of coding with some coding practice. The complete Coding Course is an excellent option as well (see syllabus). Medical terminology is required to learn coding.

 

TIME TO COMPLETE: BILLING – 80 hours

HEALTH INSURANCE SEGMENT – 80 hours

TOTAL 160 hours

Terminology add: 150 hours

*Included in the Billing Training is Health Insurance Specialist – time to complete = 80 hours, so the combined total for Billing is 160 hours.


MEDICAL TERMINOLOGY

TIME FOR COMPLETION: 150 HOURS (130 INSTRUCTION, 20 LABORATORY)

TERMINOLOGY

SECTION I

1. LANGUAGE ORIGINS & ADAPTION (ETYMOLOGY)

2. ENGLISH 101

3. MEDICAL WORDS

4. DYNAMICS OF MEDICAL VOCABULARY & WORD STRUCTURE

5. BODY DYNAMICS

6. MEDICAL INSTRUMENTS & EQUIPMENT

7. MEDICAL SPECIALTIES

8. DIAGNOSTIC MEDICINE

9. ABBREVIATIONS

10. ANATOMY AND PHYSIOLOGY (+ILLUSTRATIONS)

11. PHARMACOLOGY

12. JUST FOR FUN

SECTION II

Section I. Introduction and Orientation

Section II – Outpatient Reports

Section III – Inpatient Reports

Section IV – Interpretation


BILLING COURSE

ONE VOLUME/SECTION PART 1

Chapter 1 – Health care History & Overview

Chapter 2 – Terminology

Chapter 3 – Provider Office

Chapter 4 – Hospital Billing

Chapter 5 – Family Relationships

Chapter 6 – Billing It Out

Chapter 7 – Practice Economics

Chapter 8 – Collections

Chapter 9 – Coding

Chapter 10- Profiles

Chapter 11- Legal Issues

Chapter 12- Just for Fun

Chapter 13 – Exploring the Possibilities


HEALTH INSURANCE SPECIALIST

TIME TO COMPLETE: HIS ONLY – 80 hours

Introduction

Chapter 1 – Health Insurance Specialist Job Description & Knowledge

Chapter 2 – Medical Care Reimbursement

Chapter 3 – Health Organizations (MCO)

Chapter 4 – Insurance Claims

Chapter 5 – Payer Processing

Chapter 6 – Laws, Rules, and Regulations

Chapter 7 – Private Insurers

Chapter 8 – Medicare

Chapter 9 – Medicaid

Chapter 10 – TriCare

Chapter 11 – Workers’ Compensation

Score Summary and Final Assignment

Appendix and Glossary (all insurance form samples and instructions)

 


CODING (PREREQUISITE=TERMINOLOGY)

This is a complete coding training course (includes a module on health insurance specialist).

TIME TO COMPLETE: 390 HOURS (140 instruction, 250 laboratory)

+ Terminology: 150 hours

+Health Insurance – 80 hours

TOTAL TIME: 620 hours

MEDICAL TERMINOLOGY

 

TIME FOR COMPLETION: 150 HOURS (130 INSTRUCTION, 20 LABORATORY)

TERMINOLOGY

SECTION I

1. LANGUAGE ORIGINS & ADAPTION (ETYMOLOGY)

2. ENGLISH 101

3. MEDICAL WORDS

4. DYNAMICS OF MEDICAL VOCABULARY & WORD STRUCTURE

5. BODY DYNAMICS

6. MEDICAL INSTRUMENTS & EQUIPMENT

7. MEDICAL SPECIALTIES

8. DIAGNOSTIC MEDICINE

9. ABBREVIATIONS

10. ANATOMY AND PHYSIOLOGY (+ILLUSTRATIONS)

11. PHARMACOLOGY

12. JUST FOR FUN

SECTION II

Section I. Introduction and Orientation

Section II – Outpatient Reports

Section III – Inpatient Reports

Section IV – Interpretation

MEDICAL CODING COURSE

(includes, ICD-9, ICD-10, CPT, HCPCS)

CODING THEORY
(70 hrs – 70 instruction, 0 laboratory/practicum)

  • Industry History and the Codes
  • The Coder
  • ICD Coding
  • CPT Coding
  • Specialty Coding
  • Liability and Legal Issues
  • Summary

CODING PRACTICUM 1: CODE IT!
(100 hrs – 0 instruction, 100 laboratory/practicum)

  • 300+ medical charts to code
  • Answer key included; shows the rationale for the coding on each chart once the learner completes the coding for a given chart.

CODING PRACTICUM 1: SPECIALTY CODING
(100 hrs – 0 instruction, 100 laboratory/practicum)

  • 300 specialty medical charts to code
  • Answer key included; shows the rationale for the coding on each chart once the learner completes the coding for a given chart.

HEALTH INSURANCE SPECIALIST

TIME TO COMPLETE: HIS ONLY – 80 hours

Introduction

Chapter 1 – Health Insurance Specialist Job Description & Knowledge

Chapter 2 – Medical Care Reimbursement

Chapter 3 – Health Organizations (MCO)

Chapter 4 – Insurance Claims

Chapter 5 – Payer Processing

Chapter 6 – Laws, Rules, and Regulations

Chapter 7 – Private Insurers

Chapter 8 – Medicare

Chapter 9 – Medicaid

Chapter 10 – TriCare

Chapter 11 – Workers’ Compensation

Score Summary and Final Assignment

Appendix and Glossary (all insurance form samples and instructions)