Medical Billing & Medical Coding Combination Program
As this is one of our combination programs, you will find that there are two different course descriptions; one for each portion of the program:
Medical Billing:
Lakewood University’s Medical Billing program provides a comprehensive understanding of medical billing and its components. This program will contain many topics regarding medical billing topics such as managed care, insurance claim processing, a brief introduction to ICD-10-CM coding, HCPCS coding, and CPT coding and reimbursement methodologies. It will also cover claim form submission for Medicare, Medicaid, Blue Cross Blue Shield, Workers’ Compensation, and TRICARE. It will also cover the basic office needs, how coding and billing interrelate, and how to maintain and establish the electronic health record.
Medical Coding:
Lakewood University’s Medical Coding program provides a comprehensive understanding of medical coding and its components. This program covers many topics including navigating the International Classification of Disease, ICD-10-CM, Current Procedural Terminology (CPT), and Healthcare Common Procedure Coding Systems (HCPCS). This program will also take students through a series of individual coding cases that will require them to use all three coding books for individual body systems.
Program Outcomes
- Define medical terms
- Explain the importance of health insurance and managed health care
- Review the process of a CMS-1500 claim through the following: government / federal payers, commercial (private) payers, self-pay (uninsured) and worker’s compensation.
- Demonstrate the basics of medical coding, by applying codes, explaining medical necessity, and recognizing compliant medical billing practices.
- Locate and translate regulatory rules and regulations as they apply to medical billing and coding, including Medicare Parts A,B,C, and D.
- Demonstrate the ability to utilize the ICD-10-CM, CPT, and HCPCS manuals.
- Choose diagnoses and procedures using the ICD-10, CPT, & HCPCS manuals, following chapter-specific guidelines.
- Demonstrate the ability to abstract diagnostic statements from the medical record and differentiate between main and modifying terms and subterms in the coding manuals