Module 1: Introduction

  1. The Hospital Revenue Cycle
  2. Understanding the Patient Billing Process
  3. Services Provided in the Facility Setting
  4. Career Opportunities in the Hospital Setting


Module 2: Hospital Coding & Billing Overview
  1. ICD-9-CM Coding Guidelines
  2. ICD-9-CM Procedural Guidelines
  3. CPT/HCPCS Procedure Coding Guidelines
  4. Review of Appropriate Coding Assignment


Module 3: Hospital Billing Process
  1. General Overview of the Billing Process
  2. Admission/Preadmission Process
  3. Insurance Carriers
  4. Capturing Patient Services
  5. Coding and Health Information Department
  6. Billing Department
  7. Collection and Payment Policies


Module 4: UB-04 Overview
  1. General Overview of the Hospital Billing Form
  2. Field by Field description of UB-04 with code values


Module 5: Inpatient Coding
  1. ICD-9-CM Diagnostic Coding Tools
  2. Inpatient ICD-9-CM Diagnostic Coding
  3. Additional ICD-9-CM Diagnostic Coding Guidelines
  4. Special Inpatient ICD-9-CM Considerations
  5. Injuries and Poisonings


Module 6: Inpatient Billing
  1. Methodologies for Inpatient Services
  2. Concepts of Inpatient Prospective Payment System (IPPS)
  3. Diagnosis Related Groups


Module 7: Outpatient Coding
  1. Documentation Review for Key Elements
  2. General ICD-9-CM Diagnostic Coding Guidelines
  3. ICD-9-CM Procedure Coding
  4. General Procedure Coding Guidelines (CPT/HCPCS)
  5. CPT Specific Section Guidelines
  6. Outpatient CPT Surgery Coding Guidelines
  7. CPT Surgical Modifier Codes
  8. Guidelines by all Body Systems
  9. Outpatient Radiology Coding
  10. HCPCS Codes


Module 8: Outpatient Billing
  1. General Concepts of the Outpatient Prospective Payment System (OPPS)
  2. Ambulatory Payment Classifications (APC)
  3. Outpatient Revenue Codes
  4. Outpatient Code Editor
  5. The Outpatient Billing Process (UB-04)


Module 9: Completion & Certification Prep
  1. AHC Course Completion Steps
  2. Overview of the Certification Process
  3. Introduction to the Certified Coding Specialist (CCS) Certification
  4. Introduction to the American Health Information Management Association (AHIMA)
  5. Skills Competency Review and Practice
  6. Study Schedule for Certification Preparation



    • Course Overview/Description Course Objectives Course Outline Prerequisites/Audience PC Requirements/Materials Included Instructor Bio FAQs See a Demo
  •  
  • Administrative Dental Assistant
  • Administrative Medical Specialist with Medical Billing and Coding
  • Administrative Medical Specialist with Medical Billing and Coding + Medical Terminology
  • Advanced Coding for the Physician’s Office
  • Advanced Personal Fitness Trainer
  • Certified Indoor Air Quality Manager
  • Certified Indoor Environmentalist
  • Certified National Pharmaceutical Representative
  • Clinical Dental Assistant
  • Emergency Management Training for First Responders
  • Fitness Business Management
  • HIPAA Compliance
  • ICD-10 Medical Coding: Preparation and Instruction for Implementation
  • Medical Billing and Coding
  • Medical Billing and Coding + Medical Terminology
  • Medical Terminology
  • Medical Transcription
  • Medical Transcription + Medical Terminology
  • Nutrition for Optimal Health, Wellness, and Sports
  • Personal Fitness Trainer
  • Personal Training and Group Exercise Training for Older Adults
  • Pharmacy Technician
  • Veterinary Assistant
  • Women's Exercise Training and Wellness

Advanced Hospital Coding and CCS Prep

GES 104 -- 80 hours

Course Outline


    Module 1: Introduction

    1. The Hospital Revenue Cycle
    2. Understanding the Patient Billing Process
    3. Services Provided in the Facility Setting
    4. Career Opportunities in the Hospital Setting


    Module 2: Hospital Coding & Billing Overview
    1. ICD-9-CM Coding Guidelines
    2. ICD-9-CM Procedural Guidelines
    3. CPT/HCPCS Procedure Coding Guidelines
    4. Review of Appropriate Coding Assignment


    Module 3: Hospital Billing Process
    1. General Overview of the Billing Process
    2. Admission/Preadmission Process
    3. Insurance Carriers
    4. Capturing Patient Services
    5. Coding and Health Information Department
    6. Billing Department
    7. Collection and Payment Policies


    Module 4: UB-04 Overview
    1. General Overview of the Hospital Billing Form
    2. Field by Field description of UB-04 with code values


    Module 5: Inpatient Coding
    1. ICD-9-CM Diagnostic Coding Tools
    2. Inpatient ICD-9-CM Diagnostic Coding
    3. Additional ICD-9-CM Diagnostic Coding Guidelines
    4. Special Inpatient ICD-9-CM Considerations
    5. Injuries and Poisonings


    Module 6: Inpatient Billing
    1. Methodologies for Inpatient Services
    2. Concepts of Inpatient Prospective Payment System (IPPS)
    3. Diagnosis Related Groups


    Module 7: Outpatient Coding
    1. Documentation Review for Key Elements
    2. General ICD-9-CM Diagnostic Coding Guidelines
    3. ICD-9-CM Procedure Coding
    4. General Procedure Coding Guidelines (CPT/HCPCS)
    5. CPT Specific Section Guidelines
    6. Outpatient CPT Surgery Coding Guidelines
    7. CPT Surgical Modifier Codes
    8. Guidelines by all Body Systems
    9. Outpatient Radiology Coding
    10. HCPCS Codes


    Module 8: Outpatient Billing
    1. General Concepts of the Outpatient Prospective Payment System (OPPS)
    2. Ambulatory Payment Classifications (APC)
    3. Outpatient Revenue Codes
    4. Outpatient Code Editor
    5. The Outpatient Billing Process (UB-04)


    Module 9: Completion & Certification Prep
    1. AHC Course Completion Steps
    2. Overview of the Certification Process
    3. Introduction to the Certified Coding Specialist (CCS) Certification
    4. Introduction to the American Health Information Management Association (AHIMA)
    5. Skills Competency Review and Practice
    6. Study Schedule for Certification Preparation



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