This HIPAA Training Class provides training on important provisions of the Health Insurance Portability and Accountability Act including Public Law 104-191, Private Rule, the Security Rule, the Enforcement Rule, and the Omnibus Rule.

This training program presents essential information about the General Administrative Requirements, Administrative Requirements, and the Security and Privacy provisions of regulation text 45 CFR Parts 160, 162, and 164.

What you will learn:

* Identify the mandatory laws governing Medicare fraud and abuse.
* Summarize what you can do to detect, correct, and prevent fraud, waste
* Establish an effective compliance plan

This course targets students, employers, or anyone wishing to enter a healthcare career while fulfilling annual required training and complying with federal guidelines.

The post HIPAA, Fraud, And Abuse first appeared on IT Tutor Pro | Global IT Training Partner.

The ICD, currently the most widely used statistical classification system for diseases in the world, was adopted by the U.S. into the ICD-9-CM National Center for Health Statistics (NCHS) and used in assigning diagnostic and procedure codes associated with inpatient, outpatient, and physician office utilization in the United States. The ICD-9-CM is based on the ICD-9 but provides additional morbidity detail.

ICD-10-CM is a clinical modification of the World Health Organization’s ICD-10, which consists of a diagnostics classification system. ICD-10-CM includes the level of detail needed for morbidity classification and diagnostics specificity in the United States. It also provides code titles and language that complement accepted clinical practice in the US.

The system consists of more than 68,000 diagnosis codes. This course provides the training necessary for medical administrative professionals to comply with the updated standards. The transition to ICD-10 is necessary for many reasons. Payors cannot pay claims fairly using ICD-9-CM since the classification system does not accurately reflect current technology and medical treatment.

A single ICD-9-CM procedure code assigns significantly different procedures. Limitations in the coding system translate directly into limitations in the diagnosis-related groups (DRG). The healthcare industry cannot accurately measure the quality of care using ICD-9-CM. It is difficult to evaluate the outcome of new procedures and emerging healthcare conditions when there are no precise codes.

Most importantly, we have a mission to improve our ability to measure health care services provided to our patients, enhance clinical decision-making, track public health issues, conduct medical research, identify fraud and abuse, and design our payment systems to ensure services are appropriately paid.

The post Medical Coding And Billing Certification Bundle first appeared on IT Tutor Pro | Global IT Training Partner.

Our Complete Anatomy, ICD, CPT, and Billing course encompasses everything students need to know to successfully pass the test required to secure relevant employment in the healthcare field.

This course, Medical Coding and Billing ICD 11, not only covers medical terminology, knowledge of body systems, and how to select the correct diagnosis and procedure codes, but it also gives students complete billing guidelines needed to submit claims to insurance companies and receive payment.

With exposure to both ICD 10 and 11, students will have an advantage in the healthcare industry for open positions in this field. Both Anatomy and Medical Terminology are the foundation for medical billing and coding, this course lays down the building blocks to ensure all students can complete this course with confidence.

The Anatomy Module will take you through all body systems with a focus on common medical conditions and medical terminology with an expanded focus on root words, prefixes, and suffix meanings.

ICD and CPT Modules include the history of coding, outpatient guidelines meaning of codes in order to properly code medical documentation. As we go step by step through each chapter of the manual, we review operative reports and diagrams to properly link a condition to a code.

Medical billing and reimbursement modules cover federal compliance rules and regulations, as well as step by step on the flow from the initial patient, visit to receiving a check from insurance or patient.

In addition to course modules, students will get multiple flashcards, diagrams, charts, and “real world “exposure to multiple coding examples. As you go through this course at your own pace, you still will have the feel of a one-on-one classroom experience.

Tools provided in the Medical Coding and Billing course will ensure you have the skills to enter one of the fastest-growing fields.

• Demonstrate knowledge of the function and structure of the human body
• Understand common disorders that occur within various body systems
• Understand and apply diagnostic coding for ICD 10 and ICD 11
• Apply billing concepts used to pay claims and work insurance denials
• Understand and apply procedure coding (CPT
• Understand the use of appropriate modifiers and impact

Medical Coding and Billing is intended for any student who wishes to enter the healthcare field or improve skills needed to receive accreditation.

The post Medical Coding and Billing (ICD-10 and ICD 11) first appeared on IT Tutor Pro | Global IT Training Partner.

ICD-10-CM is a clinical modification of the World Health Organization’s ICD-10, which consists of a diagnostics classification system. ICD-10-CM includes the level of detail needed for morbidity classification and diagnostics specificity in the United States. It also provides code titles and language that complement accepted clinical practice in the US.

The system consists of more than 68,000 diagnosis codes. This course provides the training necessary for medical administrative professionals to comply with the updated standards. The transition to ICD-10 is necessary for many reasons. Payors cannot pay claims fairly using ICD-9-CM since the classification system does not accurately reflect current technology and medical treatment.

Significantly different procedures are assigned to a single ICD-9-CM procedure code. Limitations in the coding system translate directly into limitations in the diagnosis-related groups (DRG). The healthcare industry cannot accurately measure the quality of care using ICD-9-CM. It is difficult to evaluate the outcome of new procedures and emerging healthcare conditions when there are no precise codes.

Most importantly, we have a mission to improve our ability to measure health care services provided to our patients, enhance clinical decision-making, track public health issues, conduct medical research, identify fraud and abuse, and design our payment systems to ensure services are appropriately paid.

The post Medical Coding and Billing 10 first appeared on IT Tutor Pro | Global IT Training Partner.

The ICD is currently the most widely used statistical classification system for diseases in the world. ICD-9-CM is an adaption created by the U.S. National Center for Health Statistics (NCHS) and used in assigning diagnostic and procedure codes associated with inpatient, outpatient, and physician office utilization in the United States. The ICD-9-CM is based on the ICD-9 but provides for additional morbidity detail.

Medical Coding and Billing is a critical aspect of healthcare administration and plays a pivotal role in ensuring that healthcare providers receive proper reimbursement for their services. Here is comprehensive information about Medical Coding and Billing:

Medical Coding and Billing Overview: Medical Coding and Billing refer to the process of translating medical procedures, diagnoses, and services into universally recognized alphanumeric codes. These codes are essential for billing purposes, insurance claims, and maintaining accurate patient records. The healthcare industry relies heavily on medical coders and billers to ensure that healthcare providers receive payments accurately and in a timely manner.

Key Responsibilities:

Code Assignment: Medical coders assign specific codes to various medical procedures, diagnoses, and services based on documentation provided by healthcare providers. This ensures that all services are accurately represented for billing and insurance purposes.

Insurance Claims: Coders and billers are responsible for preparing and submitting insurance claims to private insurance companies or government healthcare programs like Medicare and Medicaid. They must adhere to the specific coding and billing guidelines set by these entities.

Patient Records: Accurate coding is crucial for maintaining complete and precise patient records. This information is vital for future treatments, medical research, and compliance with regulatory requirements.

Revenue Cycle Management: Medical coding and billing are integral to the revenue cycle of healthcare organizations. Accurate and timely coding and billing practices help maximize revenue and minimize payment delays.

Compliance: Medical coders and billers must stay up-to-date with healthcare regulations and coding guidelines. Compliance with these rules is essential to prevent fraud and ensure ethical billing practices.

Certification and Training: Many professionals in the field pursue certification to enhance their career prospects and demonstrate their expertise. Common certifications include Certified Professional Coder (CPC), Certified Coding Specialist (CCS), and Certified Professional Biller (CPB). To become certified, individuals typically need to pass a certification exam offered by organizations like the American Academy of Professional Coders (AAPC) or the American Health Information Management Association (AHIMA).

Career Opportunities: A career in Medical Coding and Billing offers various opportunities for employment in healthcare settings such as hospitals, clinics, physician’s offices, insurance companies, and healthcare consulting firms. With the increasing importance of accurate coding and billing in the healthcare industry, the demand for skilled professionals continues to grow.

Salary and Job Outlook: The salary of medical coders and billers can vary based on factors such as experience, location, and certification. On average, professionals in this field earn competitive salaries. The job outlook for Medical Coding and Billing professionals remains favorable due to the ongoing need for healthcare services and the importance of accurate billing and insurance claims processing.

In conclusion, Medical Coding and Billing are essential components of the healthcare industry, ensuring that healthcare providers receive proper reimbursement for their services. Professionals in this field play a critical role in maintaining accurate patient records, facilitating insurance claims, and optimizing the revenue cycle of healthcare organizations. Certification and training opportunities are available to those seeking a rewarding career in this dynamic and growing field.

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