Medical Billing and Coding with Medical Administrative Assistant - Live Online

162 Hours / Access Length: Schedule Varies / Delivery: Live Online, Instructor Led
Live Online Hours: 102 / Online Hours: 60
Retail Price: $3,199.00

Course Overview:

Launch your future in one of today’s fastest-growing healthcare fields with our comprehensive Medical Billing, Coding, and Administrative Assistant program. This course blends essential training in medical coding, billing, and terminology with vital front-office administrative skills, giving you the versatility to succeed in physician's offices, clinics, or hospitals. Throughout the program, you will master key insurance guidelines, legal and ethical considerations like HIPAA compliance, and daily operations such as patient communication and scheduling. Every component is specifically structured to prepare you for real-world responsibilities in the cognitive, psychomotor, and affective learning domains. By the end of the course, you will be fully equipped to stand out to employers by sitting for both the Certified Billing and Coding Specialist (CBCS) and the Certified Medical Administrative Assistant (CMAA) national certification exams through the National Healthcareer Association.

Course Exam:

Student will take the NHA Certified Billing and Coding Specialist (CBCS) and the NHA Certified Medical Administrative Assistant (CMAA).

Topics Covered:

Medical Administrative Assistant Topics

Legal Principles

Examine the legal system, differentiate between criminal and civil law, examine contracts, provider-patient relationships and consents

Introduction to Anatomy and Medical Terminology

Basic medical terminology (prefixes, root words, suffixes and term building), abbreviations, structural organization of the body, positional terms, basic anatomical terms and common diseases

Technology

Examine and differentiate among various types of technology and software utilized in ambulatory care environments

Written Communication

Examine types of communications used in a professional setting such as memos, emails, business letters, etc.

Telephone Techniques

Explain various multi-line telephone system features, types of incoming calls and how to handle them, automated call routing and the impact of active listening

Scheduling Appointments and Patient Processing

Describe guidelines for appointment scheduling, establishing an appointment matrix, various types of scheduling and the difference between new and established patient appointments

Health Records

Differentiate between EHRs and EMRs, describe the components of a health record and how to assess the contents of a health record

Daily Operations and Safety

Examine daily tasks for administrative medical assistants including opening and closing procedures, equipment management and work environment safety

Health Insurance Essentials

Discuss health insurance terminology, various types of health insurance plans and models including private and government insurance, worker’s compensation, disability and liability

Diagnostic Coding Essentials

Explain the use, structure and format and steps involved in ICD-10-CM coding

Procedural Coding Essentials

Explain how to use the CPT manual, steps for efficient CPT coding and the various areas of the CPT manual and HCPCS coding system

Medical Billing and Reimbursement Essentials

Explain the billing process, claim submission to third-party payers and patients’ financial obligations

Patient Accounts and Practice Management

Discuss accounts receivable, accounts payable, patient payment methods and banking procedures

Medical Billing and Coding Topics

Reimbursement, HIPAA and Compliance

Develop understanding of Medicare's structure, including Parts A through D, and interpreting essential HIPAA rules. How to locate information in the Federal Register, explain the Outpatient Resource-Based Relative Value Scale (RBRVS), recognize Medicare fraud indicators, and identify key aspects of managed health care.

An Overview of ICD-10

Explores the structure and application of the ICD-10-CM diagnostic coding system, how to navigate its Alphabetic Index and Tabular List, effectively use official instructional notations, and understand the importance of coding conventions to ensure accurate and compliant coding practices.

ICD-10-CM outpatient coding and reporting guidelines

Determine the first-listed diagnosis for various scenarios, including outpatient surgery, observation stays, and prenatal visits, learn to apply Z codes, report unconfirmed diagnoses using symptom codes, differentiate between diagnostic and therapeutic services, and accurately code for chronic and coexisting conditions based on official ICD-10-CM guidelines.

Using ICD-10-CM

Practice assigning accurate ICD-10-CM codes by using both the Alphabetic Index and Tabular List, apply conventions, understand the importance of specificity, report acute and chronic conditions, identify combination codes, distinguish integral from non-integral conditions, and correctly sequence codes for residual effects and laterality.

Chapter Specific Guidelines (ICD-10-CM Ch. 1-10)

Review coding for infectious and parasitic diseases, including proper use of combination and multiple codes, analyze neoplasm codes to distinguish between primary, secondary, and in-situ malignancies.

Chapter Specific Guidelines (ICD-10-CM Ch. 11-14)

Code gastrointestinal hemorrhages by utilizing site-specific and combination codes for conditions such as diverticulitis with perforation, apply multiple coding for cellulitis with infectious agents, identify and report pressure ulcer stages, distinguish between traumatic and pathological fractures, and document chronic kidney disease according to its severity stages.

Chapter Specific Guidelines (ICD-10-CM Ch. 15-22)

Document conditions related to pregnancy, childbirth, and the puerperium by applying rules for pre-existing versus pregnancy-related conditions, assign codes for complications such as ectopic pregnancies and postpartum conditions, code congenital anomalies, and sequence diagnoses involving signs, symptoms, injuries, and external causes.

Introduction to CPT

Navigate the CPT manual by identifying its purpose, sections, and structure, locate codes using the CPT index, interpret guidelines and symbols such as add-on and modifier exemptions, apply appropriate modifiers to procedures, and differentiate between Category I, II, and III codes for reporting services and emerging technologies.

Introduction to the Level II National Codes (HCPCS)

Examine the structure and purpose of Level II HCPCS codes, classify codes based on their groupings, including those for durable medical equipment, drugs, and transportation services. Students will also differentiate the various temporary codes, apply appropriate modifiers, and navigate the Table of Drugs to report administered medications.

Modifiers

Apply CPT modifiers to enhance procedural accuracy and reimbursement, assign modifiers such as -22 for increased procedural services, -50 for bilateral procedures, and -51 for multiple procedures. Additionally, students will learn to document complex scenarios involving staged or discontinued procedures and mandated services.

Evaluation and Management (E/M) Services

 Apply evaluation and management coding by determining the place and type of service, identifying patient status, and selecting the appropriate service level based on either medical decision-making or total time spent, analyzing key components such as the number of problems addressed, data reviewed, and risk assessment to ensure accurate coding.

Anesthesia

Define types of anesthesia, including general, regional, and monitored anesthesia care, analyze how the anesthesia payment formula incorporates base units, time units, and modifying factors. Students will also learn how to apply qualifying circumstance codes, physical status modifiers, and understand the unique process of reporting multiple concurrent procedures.

Surgery Guidelines

Interpret surgical package components, including preoperative visits, intraoperative services, and postoperative care, learn to apply modifiers for staged or related procedures, understand unique differences between separate and bundled procedures, and use special reports to document unlisted surgical services requiring detailed descriptions.

Radiology

Explore the Radiology section of the CPT manual, focusing on diagnostic imaging, ultrasound, radiation oncology, and nuclear medicine procedures, interpret terms related to radiology positioning and projections, distinguish between professional and technical components, and apply guidelines for using modifiers like -26 and -TC for component reporting.

Pathology/Laboratory

Learn how to categorize pathology and laboratory services based on test types, such as organ panels, therapeutic drug monitoring, and molecular pathology. Students will learn distinctions between qualitative and quantitative analyses, evaluate drug assay procedures, and identify how tests like hematology panels, microbiological cultures, and pathology consultations are applied in clinical practice.

Medicine

Learn how to navigate the broad range of services within the Medicine section, including immunization protocols, biofeedback therapy, and dialysis management. Students explore the structure of various subsections, understand the two-code system for immunization reporting, and identify active and passive immunizations based on purpose and delivery methods.

Inpatient Coding

Learn how to identify the principal diagnosis in complex inpatient scenarios, such as cases with multiple interrelated or uncertain conditions, interpret how Present on Admission indicators impact hospital reimbursement and review scenarios where the original treatment plan is not carried out due to complications or other factors.

Instructional Strategies:

• Lecture
• Self-Directed Study
• Skills Demonstration
• Simulation
• Online Activities

Methods of Evaluation:

• Quizzes & Exams
• Skills Demonstration
• Learner-Centered Activities

Instructor Biography:

Coming soon!

Grading System:

Student must complete the course with a final average grade of 70% to be eligible for a Certificate of Completion.

Attendance:

Students are expected to arrive on time and participate in course discussions. Successful completion of the course of study recommends 100% attendance. If during the course period the student’s attendance level drops below 80%, they will be encouraged and given the opportunity to attend the next scheduled class for the course they enrolled in. Should materials change, student is responsible for all additional cost.

Refund Policy: 

There can be no refund for the course, once the first class has been concluded; or if any course material, including the eBook, is accessed. If extenuating circumstances exist, case by case situations will be reviewed by ProTrain. If a refund is issued, the refunded amount (- a $25 processing fee) will be dependent upon books being returned in excellent condition (i.e. no writing, missing pages; ripped or damage to pages and/or binding).

Payment Plan Policy:

Students may withdraw from the program for any reason up to 1 week prior to the start of program. In this case, the student’s payment plan agreement shall be rescinded. If the payment plan has begun a non-refundable administrative fee of $25.00 will be assessed and remaining funds will be returned to payer in check form by mail. 

Re-Admission Policy:

Any student who has dropped out of the program, or has been suspended from the program for nonattendance may be readmitted within one year by completing a personal interview with the director of education and paying any applicable fees at the time of readmission. Students who were terminated due to conduct issues are not eligible to be readmitted.

Policy on Student Conduct:

All students are expected to conduct themselves in an orderly and professional manner. Any student not conducting themselves in an orderly and professional manner, which includes use of drugs and alcohol during school hours, dishonesty, disrupting classes, use of profanity, excessive tardiness, insubordination, violation of safety rules, improper usage of lab or classroom computers, or not abiding by the school rules will lead to either probation or dismissal from classes.

System Requirements:

Internet Connectivity Requirements:

• Cable, Fiber, DSL, or LEO Satellite (i.e. Starlink) internet with speeds of at least 10mb/sec download and 5mb/sec upload are recommended for the best experience.

NOTE: While cellular hotspots may allow access to our courses, users may experience connectivity issues by trying to access our learning management system.  This is due to the potential high download and upload latency of cellular connections.   Therefore, it is not recommended that students use a cellular hotspot as their primary way of accessing their courses.

Hardware Requirements:

• CPU: 1 GHz or higher
• RAM: 4 GB or higher
• Resolution: 1280 x 720 or higher.  1920x1080 resolution is recommended for the best experience.
• Speakers / Headphones
• Microphone for Webinar or Live Online sessions.

Operating System Requirements:

• Windows 7 or higher.
• Mac OSX 10 or higher.
• Latest Chrome OS
• Latest Linux Distributions
  

NOTE: While we understand that our courses can be viewed on Android and iPhone devices, we do not recommend the use of these devices for our courses. The size of these devices do not provide a good learning environment for students taking online or live online based courses.

Web Browser Requirements:

• Latest Google Chrome is recommended for the best experience.
• Latest Mozilla FireFox
• Latest Microsoft Edge
• Latest Apple Safari

Basic Software Requirements (These are recommendations of software to use):

• Office suite software (Microsoft Office, OpenOffice, or LibreOffice)
• PDF reader program (Adobe Reader, FoxIt)
• Courses may require other software that is described in the above course outline.