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Course Description

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Did you know that according to the U.S. Bureau of Labor Statistics, the job market for medical assistants will grow at a rate of 16% through 2031, which is much faster than the average job? This online medical administrative assistant certification course will teach you how administrative medical assistants with medical billing and coding knowledge are versatile and valuable healthcare team members who handle a broad range of duties. You will also be prepared for national certification exams.

Administrative medical assistants are skilled multitaskers who direct the flow of patients through an office. Effective patient flow allows the practice to operate efficiently, increase revenue, and provide a positive experience for the patient. Their duties include maintaining the reception area, welcoming patients and visitors, scheduling appointments, gathering demographic information, verifying insurance eligibility, obtaining prior authorizations, collecting copayments, and communicating via the phone and patient portal. This online medical assistant course will prepare you for positions working alongside medical providers performing these administrative duties. The course also includes an opportunity to participate in clinical experience.

Medical billers and coders are also in high demand—making online medical billing and coding certification programs a worthwhile investment. In addition to providing the knowledge and skills you will need to become a Certified Medical Administrative Assistant (CMAA), the online medical billing and coding program component also offers valuable training in legal, ethical, and regulatory concepts central to this field, including HIPAA compliance, official coding guidelines, and third-party payer requirements. You will understand all phases of the revenue cycle—from patient registration through medical coding, claims submission, reimbursement, and collections. You will also learn medical terminology as you study word parts and the structures and functions of the human body. Also presented are the disorders and medical procedures common to each body system, including musculoskeletal, cardiovascular, respiratory, digestive, nervous, endocrine, integumentary, genitourinary, lymphatic, and immune.

Upon completing this course, you should be well prepared to find your place in this rewarding healthcare career. You will be prepared for the CMAA national certification exam offered by the National Healthcareer Association (NHA) and receive a voucher that covers the exam fee. You will also be able to choose a voucher for the professional certification that best aligns with your interests and career goals related to medical billing and coding. These exam vouchers include:

  • Certified Professional Coder (CPC) exam offered by the American Academy of Professional Coders (AAPC)
  • Certified Coding Associate (CCA) exam offered by the American Health Information Management Association (AHIMA)
  • Certified Billing and Coding Specialist (CBCS) exam offered by the National Healthcareer Association (NHA)

Certification exams offered by AAPC and NHA are only available online to candidates located in the US. AHIMA only offers in-person exams in both the US and Globally.

What you will learn

  • Medical Billing and Coding
  • Medical coding terminology required for medical coding, including the structures and functions of the human body
  • The disorders and medical procedures common to each body system
  • Legal, ethical, and regulatory concepts central to the field, including HIPAA compliance and third-party guidelines for filing insurance claims
  • The main coding manuals: ICD-10-CM, ICD-10-PCS, CPT, and HCPCS Level II
  • How to code diagnoses, services, and procedures for all systems of the body
  • The fundamentals of medical billing & coding and medical terminology
  • Word parts and the structures and functions of the human body
  • What is required to succeed as a Medical Administrative Assistant
  • Multitasking as it relates to scheduling appointments, processing insurance requests, maintaining records, and corresponding with patients
  • The best financial practices for a medical center
  • The fundamentals of medical terminology and ethical best practices
  • The basics of working with medical documents, medical billing, and coding processes
  • Identify the professional traits that a medical assistant must possess
  • Discuss the various administrative job duties of a medical assistant
  • Recognize the importance of professional certification

How you will benefit

  • Jump-start your career in the medical field
  • Get hands-on, practical experience in medical billing and coding
  • Learn how to effectively communicate with prospective patients and fellow professionals in the medical industry
  • Understand how to create positive, efficient experiences for patients to make them more comfortable
  • You will be awarded a certificate of completion and will be prepared to sit for the professional certification that best aligns with your interest and career goals
  • You will also be able to choose a voucher for the professional certification to enroll for the exam
  • You'll also receive access to the study materials that align with the exam option you choose
  • Certified Professional Coder (CPC) exam offered by the American Academy of Professional Coders (AAPC)
  • Certified Coding Associate (CCA) exam offered by the American Health Information Management Association (AHIMA)
  • Certified Billing and Coding Specialist (CBCS) exam offered by the National Healthcareer Association (NHA)
  • Professionalism represents the types of behavior that demonstrates your moral, ethical, and respectful attributes when interacting with patients and coworkers
  • The medical assistant has a critical role in the ambulatory care setting, performing administrative tasks under the direction of the provider
  • An increasing number of employers now require that their medical assistants be certified, showing they have met certain educational requirements and are committed to continuing their education moving forward

Syllabus

    1. Medical Terminology
      1. Introduction to Medical Terminology
      2. The Musculoskeletal System
      3. The Cardiovascular System
      4. The Lymphatic and Immune Systems
      5. The Respiratory System
      6. The Digestive System
      7. The Urinary System
      8. The Nervous System
      9. The Special Senses The Eyes and Ears
      10. The Integumentary System
      11. The Endocrine System
      12. The Reproductive System
      13. Diagnostic Procedures, Nuclear Medicine, Pharmacology
    2. Certified Medical Administrative Assistant
      1. Medical Assisting Foundations
      2. Professional Behavior
      3. Legal and Ethical Issues
      4. The Art of Communicating
      5. Telecommunications, Telephone Professionalism, and Telephone Techniques
      6. Written Communications
      7. Medical Office Environment
      8. Patient Scheduling
      9. Managing Medical Records
      10. Introduction to Health Insurance
      11. Medical Coding: An Overview
      12. Patient Accounts
      13. Insurance Claims, Patient Billing, and Collections
      14. Daily Financial Practices
      15. Managing the Office
      16. Pharmacology
      17. Certification
      18. Preparing for Your Career
    3. Medical Billing and Coding
    1. Introduction to Medical Billing and Coding
      1. Career Opportunities
      2. Personal and Technical Qualifications
      3. Employment Settings
      4. Telecommunications
      5. Professional Certifications
    2. Introduction to Health Insurance
      1. Health Insurance Terminology
      2. Commercial and Government Payers
      3. Healthcare Documentation
      4. Electronic Health Record
    3. Managed Healthcare
      1. Types of Reimbursement
      2. Managed Care Providers
      3. Managed Care Models
      4. Consumer-Directed Health Plans
    4. Revenue Cycle Management
      1. Phases of Revenue Cycle Management
      2. Encounter Form, Chargemaster
      3. Insurance Claim Cycle
      4. New Patient Registration
      5. Collection Practices
    5. Legal Aspects of Health Insurance and Reimbursement
      1. Laws Affecting Healthcare
      2. Protected Health Information
      3. Health Insurance Portability and Accountability Act (HIPAA)
      4. Fraud and Abuse in Medical Billing and Coding
      5. Release of Information
    6. ICD-10-CM Coding
      1. Overview of ICD-10-CM
      2. Key Features
      3. Organization of the Codebook
      4. Index to Diseases and Injuries
      5. Tabular List of Diseases and Injuries
      6. Coding Conventions
      7. Official Guidelines
    7. CPT Coding
      1. Overview of Healthcare Common Procedure Coding System (HCPCS)
      2. Category I, Category II, and Category III Codes
      3. Organization of the Codebook
      4. Main CPT Sections
      5. Evaluation and Management
      6. Anesthesia
      7. Surgery
      8. Radiology
      9. Pathology and Laboratory
      10. Medicine
      11. Code Modifiers
    8. HCPCS Level II Coding
      1. Overview of HCPCS Level II
      2. Organization of the Codebook
      3. Durable Medical Equipment
    9. ICD-10-PCS Coding
      1. Overview of ICD-10-PCS
      2. Code Structure
      3. Definitions
      4. Index
      5. Code Tables
      6. Coding Steps
    10. Pharmacology for Coders
      1. Pharmacodynamics and Pharmacokinetics
      2. Routes of Administration
      3. Drug Classifications
      4. Prescription Drugs and Over-the-Counter Drugs
      5. Controlled Substances
      6. Medication Lists and the Electronic Health Record
    11. MIDTERM
    12. Clinical Documentation Improvement (CDI)
      1. Deficiencies in Documentation
      2. Medical Necessity
      3. Auditing
      4. Coding From Patient Documentation
    13. Insurance Claims
      1. National Uniform Claim Committee
      2. CMS-1500 Claim Form
      3. Patient and Insured Information
      4. Physician or Supplier Information
      5. UB-04 Claim Form
    14. Commercial Insurance
      1. Individual/Group Health Insurance, Automobile, Disability, Liability, Workers' Compensation
      2. Completing Commercial Health Insurance Claims
    15. Blue Cross Blue Shield
      1. History of BCBS
      2. Types of BCBS Plans
      3. Participating/Nonparticipating Providers
      4. BCBS Billing and Payment Guidelines
    16. Medicare
      1. Medicare Eligibility
      2. Medicare Part A, B, C, and D
      3. National Coverage Determinations/Local Coverage Determinations
      4. Participating/Nonparticipating Providers
      5. Physician Fee Schedule
      6. Medicare Billing and Payment Guidelines/NCCI
    17. Medicaid, CHIP, TRICARE, Workers' Compensation
      1. Medicaid
      2. Children's Health Insurance Program (CHIP)
      3. TRICARE
      4. Workers' Compensation
    18. Certification
      1. Selecting the Right Certification
      2. Study Strategies for the Certification Exam
      3. Prior to the Exam
      4. Morning of the Exam
      5. During the Exam
    19. How to Find a Job in Medical Billing and Coding
      1. Formulating Your Career Goals
      2. What Employers Want
      3. Showcasing Your Skills
      4. Resume Tips
      5. Cover Letter Tips
      6. Interview Questions
    20. FINAL
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