LEARNING OBJECTIVES: Upon completion of this course, students will be proficient in: • The organization of the human body, the contribution that each system makes to homeostasis of the body, and the major anatomical structures and purposes of each body system • Using the ICD-10-CM, CPT, and HCPCS manuals to identify correct codes • Basics of diagnostic and procedural coding • Basic claims processes for insurance and 3rd-party reimbursements • Completing common insurance forms, tracing delinquent claims, and appealing denied claims • The Health Insurance Claim Form (CMS 1500) HIPAA and Electronic Data Interchange (EDI) • Coding Evaluation and Management (E&M) services • CPT Modifiers, E and V Codes, and Late Effects • Coding for diagnostic and therapeutic services and the Level II National Codes • Tracing delinquent claims and insurance problem solving Third-party reimbursement issues DESCRIPTION: This program is designed for existing healthcare professionals looking for a medical billing and coding program online. With this program, healthcare professionals can improve their employment opportunities significantly, as hospitals, physician practices, pharmacies, chiropractic practices, care facilities,physical therapy practices, and several others require medical billers and coders. People working in this position can help healthcare providers with insurance reimbursement. This interactive and assessment-rich course will teach you: • How the human body is organized • Major anatomical structures of the body • How to use the HCPCS, CPT, and ICD-10-CM manuals for identifying correct codes • The basics of procedural and diagnostic coding • How to complete insurance forms, trace delinquent claims, and appeal denied claims • About HIPAA and Electronic Data Interchange (EDI) • CPT Modifiers, Late Effects, and E and V Codes • Coding Evaluation and Management (E&M) services This program includes a user-friendly interface to allow for more students to comfortably and access and use all available tools for learning. This way, they can make the most of their learning material, allowing them to take their career opportunities to the next level as they become certified billing and coding specialists! CERTIFICATION: After completing this program students will be prepared to sit for any of the billing and coding certification exam. **Some certification exams have additional requirements** Included in this program is the CBCS certification from NHA! Individuals with a CBCS certification from NHA gain access to the knowledge and training they need to prepare for a rewarding and meaningful career as a sought-after Billing & Coding Specialist. As a CBCS, you may perform some or all of the following tasks: Gather/review essential patient information Verify required documentation before patient information is released Prevent fraud/abuse by auditing billing Support coding and billing process Assign codes for diagnoses and procedures Submit claims for reimbursement Coach healthcare providers to achieve optimal reimbursement Billing & Coding Specialists have an expansive range of opportunities for employment. The skills learned through the NHA CBCS certification are essential to hospitals, physician offices, surgery centers, nursing homes, dental offices, home healthcare agencies, mental health facilities and even insurance companies and consulting firms. Each state may have additional licensing requirements, be sure to research your states requirements for employment by visiting your states occupation board.