MEDICAL CODING AND BILLING OUTPATIENT SERVICES
Issued by
Louisiana State University Shreveport
The earner has completed 615+ hours of skills-based Medical Coding and Billing online coursework, centered around working in Outpatient Services. The comprehensive Medical Coding and Billing program has prepared the earner to use all of these codes— CPT, HCPCS, and ICD-10, including an optional PCS procedural code set. The earner has been prepared to translate medical records into standardized codes used to bill patients and third-party payers such as insurance companies and Medicare.
- Type Validation
- Level Intermediate
- Time Months
- Cost Paid
Earning Criteria
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Comprehensive Medical Terminology; Analyze how medical terms are built using common word parts, properly spell, define, and pronounce medical terms associated with each of the major body systems, identify and define the word parts most frequently associated with the major body systems, and interpret common abbreviations used in medical terminology and cautions to remember when using them.
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Medical Billing; Explain health insurance careers, opportunities, and expectations, differentiate between major health insurance programs, government-sponsored health benefit programs, and related federal health care legislation, explain revenue cycle management, and demonstrate basic principles of national diagnosis and procedure/service coding and compliance systems.
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Comprehensive Electronic Health Records; Demonstrate how patient records are used and regulated, complete tasks required for scheduling a patient, review clinical information reporting, and explore revenue cycle and financial reporting.
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Outpatient Coding; Accurately assign and sequence ICD-10-CM diagnostic codes for inpatient, outpatient, and physician services according to the official coding guidelines, differentiate reimbursement systems for various programs, including private insurance and contracts, managed care, Medicare, Medicaid, Workers' Compensation, and other disabilities, and understand the difference between CPT, ICD, and HCPCS coding systems and identify their appropriate use in health records.
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Health Information Management; Identify data sources by describing types of medical records and the information found in each record, describe the role medical records take in coding and billing, describe the structure and use of health information, and identify record data collection tools.
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Successfully complete all coursework and final exam.