Medical Terminology, Billing and Coding Career Prep with HIV and AIDS Healthcare Professional Perspectives

MSM126 / 810 Hours / 12 Months / Self-Paced / Materials Included

Course Overview:

This course of study consists of four medical components: Medical Terminology, Billing, and Coding with HIV/AIDS Healthcare Professional Perspectives.

In the Medical Terminology component, you will learn and recognize word roots, prefixes, and suffixes used in medical language today as well as learn how to combine words to create meaningful medical conditions and understand their definition and the correct spelling. In medical terminology you will learn medical terms related to all major body systems. Medical terms are introduced in the context of human anatomy and physiology to help you understand exactly what they mean. You will practice defining and understanding medical terms using case studies, vignettes, and activities.

With the Medical Billing component, you will gain the skills you need to enter one of the fastest-growing fields in allied health as a medical billing specialist. In this program, you will gain hands-on, practical experience working with the main coding manuals in the field, the ICD-9-CM and the CPT. In addition; you will be introduced to the new ICD-10-CM diagnosis coding system. You will also master the legal, ethical, and regulatory concepts that are central to this field.

The Medical Coding component is practical and shows you exactly how to code using all of today's coding systems by providing an in-depth introduction to essential coding concepts. In addition to coverage of reimbursement, ICD-9-CM, CPT, HCPCS, and inpatient coding, this area of study offers complete coverage of the ICD-10-CM diagnosis coding system. Medical Coding is one of the fastest growing careers in the health care industry today. The need for professionals that understand how to code health care services and procedures for third party insurance reimbursement is growing substantially. Physician practices, hospitals, pharmacies, long-term care facilities, chiropractic practices, physical therapy practices and other health care providers all depend on medical billing and coding for insurance carrier reimbursement.

While much is now known about HIV infection, its direct and indirect effects continue to challenge patients, families, communities, and caregivers. A new generation of health care providers is now needed to provide care for persons living with HIV/AIDS (PLWH). Unlike earlier professional caregivers who had limited treatment options and primarily provided care for those dying from AIDS, the new generation of caregivers must understand HIV/AIDS as a chronic condition that PLWH may live with for several decades. This component will provide a comprehensive overview of HIV and AIDS, and it will cover topics ranging from the history of HIV, transmission, prevention, patient management, and working with special populations. When a student completes this component, the student will have a thorough understanding of the needs of patients living with HIV/AIDS and will be better equipped to provide care for those infected with the virus.

Course Outline:

Medical Terminology Curriculum:
  • Introduction to Medical Terminology, The Human Body in Health and Disease, Word Part Review
  • Skeletal & Muscular System
  • Cardiovascular System
  • Lymphatic and Immune System
  • Respiratory System
  • Digestive System
  • Urinary System
  • Urinary and Male Genital Systems
  • Nervous System and Special Senses: Eyes and Ears
  • Integumentary System
  • Endocrine System
  • Reproductive System
  • Diagnostic Procedures, Nuclear Medicine, and Pharmacology
Medical Billing Curriculum:
  • Role of the Insurance Specialist
  • Compliance, Privacy, Fraud and Abuse in Insurance Billing
  • Confidentiality in Billing and Record-Keeping
  • Fundamentals of Health Insurance
  • The Affordable Care Act
  • Medical Documentation and the Electronic Health Record
  • Diagnostic Coding
  • Procedural Coding
  • The Paper Claim CMS-1500
  • The Electronic Claim
  • Receiving Payments and Insurance Problem Solving
  • Office and Insurance Collection Strategies
  • The Blue Plans, Private Insurance, and Managed Care Plans
  • Medicare
  • Medicaid and Other State Programs
  • TRICARE and Veterans’ Healthcare
  • Worker’s Compensation
  • Disability Income Insurance and Disability Benefit Programs
  • Hospital Billing
  • Seeking a Job and Attaining Professional Advancement
Medical Coding Curriculum:
  • Introduction to Medical Coding
  • Reimbursement, HIPAA and Compliance
  • An Overview of ICD-10-CM
  • ICD-10-CM Outpatient Coding and Reporting Guidelines
  • Using ICD-10-CM
  • Chapter Specific Guidelines (ICD-10-CM Chapters 1-10)
  • Chapter Specific Guidelines (ICD-10-CM Chapters 11-14)
  • Chapter Specific Guidelines (ICD-10-CM Chapters 15-21)
  • An Overview of ICD-9-CM
  • ICD-9-CM Outpatient Coding and Reporting Guidelines
  • Using ICD-9-CM
  • Chapter Specific Guidelines (ICD-9-CM Chapters 1-8)
  • Chapter Specific Guidelines (ICD-9-CM Chapters 9-17)
  • Introduction to CPT and the Level II National Codes (HCPCS)
  • Modifiers
  • Evaluation and Management (E/M) Services
  • Anesthesia
  • Surgery Guidelines and General Surgery
  • Integumentary System
  • Musculoskeletal System
  • Respiratory System
  • Cardiovascular System
  • Hemic, Lymphatic, Mediastinum, and Diaphragm
  • Digestive System
  • Urinary and Male Genital Systems
  • Reproductive, Intersex Surgery, Female Genital System, and Maternity Care and Delivery
  • Endocrine and Nervous Systems
  • Eye, Ocular Adnexa, Auditory, and Operating Microscope
  • Radiology
  • Pathology/Laboratory
  • Medicine
  • Inpatient Coding
HIV/AIDS Healthcare Professional Perspectives Curriculum:
  • HIV Infection and AIDS
  • HIV Diagnosis and Progression
  • Prevention
  • Managing HIV
  • Working with Caregivers
  • Special Populations
  • Women, Children, and the Elderly

All necessary materials are included.

Certification(s):

This course prepares students for the NHA Certified Billing and Coding Specialist (CBCS) certification exam.


System Requirements:

Internet Connectivity Requirements:
  • Cable and DSL internet connections are recommended.

Hardware Requirements:
  • Minimum Pentium 400 Mhz CPU or G3 Macintosh. 1 GHz or greater CPU recommended.
  • 256MB RAM minimum. 1 GB RAM recommended.
  • 800x600 video resolution minimum. 1025x768 recommended.
  • Speakers/Headphones to listen to Dialogue steaming audio sessions.
  • A microphone to speak in Dialogue streaming audio sessions.
Operating System Requirements:
  • Windows Vista, 7, 8, 8.1, 9, 10
  • Mac OSX 10 or higher.
  • OpenSUSE Linux 9.2 or higher.
Web Browser Requirements:
  • Google Chrome is recommended.
  • Firefox 13.x or greater.
  • Internet Explorer 6.x or greater.
  • Safari 3.2.2 or greater.
Software Requirements:
  • Adobe Flash Player 6 or greater.
  • Oracle Java 7 or greater.
  • Adobe Reader 7 or greater.
Web Browser Settings:
  • Accept Cookies
  • Disable Pop-up Blocker.


**Outlines are subject to change, as courses and materials are updated.**