MEDICAL BILLING AND CODING

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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.
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