College of Health Related Professions Continuing Education MEDICAL BILLING AND CODING SCHEDULE Required courses for certificate completion: Anatomy & Physiology Mondays/Wednesdays 6 - 9:30 pm 8 sessions January 9 to February 6, 2012 Medical Terminology Saturdays 9 – 3 pm ( 9-11:30, lunch, 12:30 – 3pm) 8 sessions January 7 to January 28, 2012 ICD-9 Mondays/Wednesdays 6 - 9:30 pm 12 sessions February 13 to March 26, 2012 CPT-4 Saturdays 9 – 3 pm ( 9-11:30, lunch, 12:30 – 3pm) 12 sessions February 11 to March 24, 2012, skips /18 Medical Record Mondays/Wednesdays 6 - 9:30 pm 7 sessions March 26 to April 18, 2012 Health Insurance/Regulations in Health Care Coding Saturdays 9 – 3 pm ( 9-11:30, lunch, 12:30 – 3pm) 10 session March 31 to April 28, 2012 Medical Manager Mondays/Wednesdays 6 - 9:30 pm 11 sessions April 23 to May 30, 2012 Medical Manager Practicum Saturdays 9 – 3 pm ( 9-11:30, lunch, 12:30 – 3pm) 11 sessions May 5 to June 16, 2012, skips 5/26 The Medical Billing and Coding program at Downstate is a six months certificate program to assist individuals entering the filed of medical coding. A recent survey by American Academy of Professional Coders (AAPC) showed that today the average wage in 2011 for a Certified Professional Coder (CPC®) was approximately $46,800. For more information about the program, call 718-270-2422 or visit us online at http://www.downstate.edu/cme/coding.htm Course Descriptions: Medical Terminology: The course introduces the technical language of medicine through word construction utilizing roots, prefixes, suffixes and combinations. This course is designed to give the student a working knowledge of the key terms relative to diseases, diagnostics tests, clinical procedures and pharmacology. Anatomy and Physiology: The course provides a foundation in the study of the human body including the major structures and functions of the organ systems. Organ systems and key pathologic conditions of the respiratory, cardiovascular, muscular-skeletal, central nervous, urinary, reproductive, integumentary and endocrine systems are presented. ICD-9-CM Coding: This course presents essential ICDS-9 coding conventions and classifications vital for coding actual diagnoses, diseases, interventions and procedures. The student will also be introduced to the prospective payment system and coding guidelines set by UHDDS (Uniform Hospital Discharge Data Set). CPT-4 Coding: This course presents the coding and reporting requirements for physician billing as developed by the Health Care Financing Administration as well as the guidelines for ambulatory care services. The student will learn how to use CPT-4 Coding Handbook, the basic structure of the APC System, as well as how to implement the use of CPT and HCPCS Level II in APC assignment. Medical Record: This course builds upon earlier course work to guide students in their integration of knowledge and skills in data entry and management; medical record keeping; data analysis, and specific coding techniques that are essential in documentation and management of medical situations. The student will learn how to conduct a qualitative analysis of a medical record and how to abstract pertinent data for coding. Health Insurance/Regulations in Health Care Coding: This course provides an overview of health care financing as an introduction to more comprehensive policies and procedures that govern the administration and utilization of third-party, public and private health insurance programs. The student will obtain a comprehensive understanding in the completion of the HCFA-1500, along with physician billing, balance billing and collection procedures. Medical Manager: This laboratory course provides students with “hands-on” experience in ICD-9CM Coding, proper application of UHDDS (Uniform Hospital Discharge Data Set) guidelines (including sequencing of diagnoses and procedures) DRG assignment, CPT-4 coding, reporting and interpreting statistical data, and utilizing automated systems for encoding. Medical Manager Practicum: This course introduces students to the role, responsibilities and professional presentation that will enable them to appropriately work in a professional medical environment. Course topics include medical legal and ethical issues, confidentiality of health information, data security, customer relations, professionalism and interactive communication skills. Preparation for CCS & CCSP Exams: A review for the CCS exam. Along with sample multiple choice questions will be assigned to students. An extensive review of all coding guidelines, rules and regulations will be provided. College of Health Related Professions Continuing Education ICD-10 Coding Prep Course The ICD-10 code set will replace ICD-9 as the HIPAA (Health Insurance Portability and Accountability Act) adopted classification system for use in medical billing. Physicians and practice management staff should start educating themselves now about this major change in medical billing so that they will be able to meet the October 1, 2013 compliance deadline! Whereas ICD-9-CM contains over 17,000 codes, ICD-10 includes more than 141,000 diagnostic and therapeutic codes and accommodates a host of new diagnoses and procedures. The ICD-10 Proficiency course will: expand your clinical understanding of Anatomy and Pathophysiology increase your understanding of ICD-10-CM format and structure, groupings and categories of codes, ICD-10-CM official guidelines, and coding concepts help you to implement ICD-10 in your practice This course includes direct instruction of coding principles and guidelines as well as coding exercises and hands-on training.