Medical Billing & Coding at Macomb
Transcript of Medical Billing & Coding at Macomb
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Medical Billing & Coding at Macomb
Workforce CertificatesO Certified Professional Coder (CPC)O Certified Medical Reimbursement Specialist (CMRS)
Associate of Applied ScienceO Health Information TechnologyO Medical Assistant
Professional DevelopmentO AAPC & AMBA ceus for CPCs & CMRS
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Certified Professional CoderWorkforce Certificate
O Length of program: Minimum 2 semesters O Prepares students to pass the American
Academy of Professional Coders exam
http://www.aapc.com
Certified Professional CoderWorkforce Certificate
2 Pre-requisite courses: ∗ Medical Terminology: HLTH-8010A* or HHSC-1700∗ Microsoft Office 2016: CSFT-8063 or ITCS-1010
2 Coding courses:∗ Medical Coding I : HLTH-8102A∗ Medical Coding II: HLTH-8103A
1 Exam Prep course: CPC Study Night HLTH-8074∗ 5.5 Hour proctored exam
*Articulates to credit HHSC-1700 at Macomb via formal request
Test - Out Options
o Medical Terminologyo Credit by Examination = 3 credits for MAST-1700
o Microsoft Office 2016 o CLEP test for Information Systems & Computer
Applications = 4 credits for ITCS-1010
Placement Testing OfficesPhone: 586.286.2295Email: [email protected]
Can I take both Coding 1 & 2 in the same semester?
Budget at least 16 hours per week per course for homework
CPC Online @ Macomb• Medical Terminology HHSC-1700 online for credit• Microsoft Applications ITCS-1010 online for credit• Medical Coding I & II HLTH-8101A and HLTH-8102A
online noncredit continuing education• CPC Study Night HLTH-8074 via Adobe Go-to-Meeting
Students with an AAPC accredited CPC can get 6 credits for Health Information Technology Ass. Degreeat Macomb
Associate’s degree in Health Information Technology also offered as an online option!
American Academy of Professional Coders (AAPC) Certification Equivalent Macomb Course Credit Hours
CPC- Certified Professional CoderHITT 1209, International Classification of Disease (ICD) Coding- Beginning Coding HITT 2106, CPT/HCPCS & Outpatient Coding
3.0
3.0
CIC- Certified Inpatient CoderHITT 1209, International Classification of Disease (ICD) Coding- Beginning Coding
3.0
COC- Certified Outpatient Coder HITT 2106, CPT/HCPCS & Outpatient Coding 3.0
American Health Information Management Association (AHIMA)Certification
Equivalent Macomb CourseCredit Hours
CCS-Certified Coding SpecialistHITT 1209, International Classification of Disease (ICD) Coding Beginning Coding HITT 2106,CPT/HCPCS & Outpatient Coding
3.0
3.0
CCA-Certified Coding Associate
HITT 1209, International Classification of Disease (ICD) Coding Beginning Coding
HITT 2106, CPT/HCPCS & Outpatient Coding
3.0
3.0
CCS-P -Certified CodingSpecialist, Physician Based
HITT 1209, International Classification of Disease (ICD) Coding Beginning Coding
HITT 2106, CPT/HCPCS &Outpatient Coding
3.0
3.0
Certified Professional CoderOnline Internship
Optional Internship for Medical CodingHLTH-8105
O Offers real-world experience coding O 615 cases in 18 specialties, 35 reportsO 240 hours count towards removing
apprenticeship from AAPC credential
O Length of program -- two semestersO Prepares students to pass the American
Medical Billing Association’s exam
Certified Medical Reimbursement Specialist
Workforce Certificate
http://www.ambanet.net/
Certified Medical Reimbursement Specialist
Workforce Certificate
2 Pre-requisite courses: ∗ Medical Terminology: HLTH-8010A or HHSC-1700∗ Microsoft Office 2016: CSFT-8063 or ITCS-1010
3 Medical Billing courses:∗ Patient Access Services: HLTH-8061B∗ Medical Billing: HLTH-8008D∗ Billing Applications: HLTH-8018C
CMRS Exam
Formally recognizes a medical biller’s proficiency in many areas including:
• ICD-9 & ICD-10, CPT-4 & HCPCS coding• Medical Terminology• Insurance Claims & Billing• Appeals & Denials
• Online exam open for 45 days• Hosted by AMBA
• Register at Macomb to save $$
HLTH-8109
What is Medical Coding?Medical Coders abstract information from the medical record, assign codes that are placed on a claim form for payment, used for statistical data or reporting quality measures.O Statistical data—incidence of disease,
tracking communicable diseases, etc.O Quality measures—codes that indicate
standards of care are met, such as counseling to stop smoking, or using an E-prescribing service.
Tools of Medical CodingO ICD-10-CM
O Volume 1&2 are for diagnosis O Volume 3 is used for inpatient procedures
O CPT/HCPCS are used for reporting procedures, services or supplies in outpatient setting
What is Medical Billing?Medical billing is the process of submitting and following up on claims with health insurance companies in order to receive payment for services rendered by a healthcare provider. The same process is used for most insurance companies, whether they are private companies or government sponsored programs.
Tools of Medical BillingO ICD-9-CMO ICD-10-CMO CPT-4O HCPCSO Coding SoftwareO Billing SoftwareO Clearinghouse
Qualities of Billers/CodersO Analytic skills
O Must be able to read and understand medical records and decide how to code them
O Detail orientedO Pay attention to details to be accurate
O Technical skillsO Must have computer skills to use EHRs and coding
softwareO Interpersonal skills
O Understand confidentiality, be able to discuss discrepancies in charting and coding with doctors and finance departments
Job Outlook for Billers/Coders
O CPC and CMRS average salary in Michigan is: $11.22– $18.67 per hour. The job growth projection is: 18% - 22%
O The number of jobs in this field is expected to grow twice as fast as the national average.
Source: U.S. Bureau of Labor Statistics, Employment Projections program
O AHIMA approved trainersO Health Information Management expertsO Over 20 years of teaching experience
OUR FACULTY
Questions?Michelle Valin, M.Ed.Director, Center for Health [email protected]
Center for Health Careers
To register for the mandatory health career workshop - WKSP-8000 - please call our office at 586-226-4807 or email [email protected]