Medical Insurance Billing Program

If you are looking for another career or supplementary income, our Certificate Program in Medical Insurance Billing can make you a valued professional in the fast-growing health care field.

Participation in the Certificate Program is not required. Courses may be taken individually as long as you meet the prerequisites.

Certificate Program

• Medical Insurance Billing, Part I
• Medical Insurance Billing, Part II
• CPT, ICD9, ICD10 & HCPCS Coding
• Workers' Compensation & Personal Injury
• Computerized Medical Insurance Billing (A Home Study Course)
  
  

Course materials and texts are NOT included in the registration fee. Material fees are payable to instructor at the 1st meeting of each course. Please see each course description for the appropriate fees.

Students will receive a Certificate of Attendance from the instructor at the end of each course. Those who complete the Certificate Program will also receive a Certificate of Completion issued by the college.

TAKE THE ENTIRE MEDICAL BILLING CERTIFICATE PROGRAM FOR JUST $375

See individual materials fees payable directly to instructor in class.

 

Kris Patterson is the owner of a successful Medical Billing and Consulting firm and has taught Medical Insurance Billing classes for over twenty years.

 

Introduction to Medical Insurance Billing

One of the physicians' most valued employees is the one who does the insurance billing. Learn medical billing techniques and how to follow up and collect on billed claims.

In this course you will learn:

• How to bill Medicare, Medicaid (MediCal in California), TRICARE and CHAMPVA
• How to complete the new CMS 1500 (universal claim form) used to bill insurance companies
• Updated information on the new Medicare contractor, Noridian Healthcare Solutions
• Learn how to keep current on changes on rules and regulation of government plans
• How to read an Explanation of Benefits (EOB) and how to use it to bill secondary carrier
• How to look up diagnosis codes, procedure codes and modifiers

Sat., Sept. 29
9:00 am - 3:00 pm
Room: 514 - Click here for an interactive map of campus. Hint - click on the building to see room numbers.
Fee: $125
$59 material fee (payable in class)

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Medical Insurance Billing, Part II

This workshop is for those students who have completed the Intro to Medical Insurance Billing course or students who are already Billers and want to further their knowledge in medical billing.

In this course you will learn:

• The difference between PPO's, HMO's, IPA's and other managed care issues
• The ins and outs of contracting with managed care plans
• HCPCS Level II coding – when to use these codes
• Analyze and solve difficult billing problems, denial management
• HIPAA - Health Insurance Portability & Accountability Act (patient privacy)
• Open discussions on various issues of concern to medical billers

Prerequisite: Experience as a medical biller or completion of Intro to Medical Insurance Billing.

Mon., & Tue., October 1 & 2
6:30 - 8:45 pm
Room: 514 - Click here for an interactive map of campus. Hint - click on the building to see room numbers.
Fee: $85
$39 material fee (payable in class)

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CPT, ICD9, ICD10 & HCPCS Coding

In this course you will learn the difference between CPT, ICD9, ICD10 and HCPCS codes and when to use them for billing claims.

Topics include:

• Indicating the appropriate diagnosis code on the claim form
• Code the primary reason for the visit each time patient is seen
• Understand and gain a working knowledge of ICD10 codes
• Appropriate procedure codes are sent to insurance companies
• Learn billing for supplies, material, injections and dental claims

Sun., Sept. 30
9:00 am - 3:00 pm
Room: 515 - Click here for an interactive map of campus. Hint - click on the building to see room numbers.
Fee: $95
$49 material fee (payable in class)

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Workers' Compensation & Personal Injury

Learn how to bill California Workers' Compensation and Personal Injury cases.

Some of the areas this workshop will cover are:

• An overview of California's Workers' Compensation system
• Filing Workers' Compensation Appeals Board Liens
• Tips for screening patients up-front to minimize payment problems
• Maximizing reimbursement
• Turning objection letters into payments
• Negotiating with attorneys on lien cases
• How to make sure the case is really "pending"
• Billing automobile insurance carriers and personal injury cases

Prerequisite: Experience as a medical biller or completion of Intro to Medical Insurance Billing Parts I & II.

Sat., October 6
8:30 am - 12:30 pm
Room: 514 - Click here for an interactive map of campus. Hint - click on the building to see room numbers.
Fee: $85
$49 material fee (payable in class)

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Computerized Medical Insurance Billing (A Home Study Course)

First, meet the instructor for a 15-minute orientation to receive course material and information on obtaining your username and password. (Windows 98 or above required) You'll learn how to set up a medical practice using your own computer. This course must be completed within 1 month. (Most students complete the course material within 6 to 8 hours). You will have the assistance of an instructor via email.

In this hands-on course you will set-up the following:

• Practice & Provider information
• Practice superbill
• Insurance companies to be billed
• Post charges, payments and adjustments
• Print insurance claims, patient statements & management reports
• Create database for electronic claim submission

Prerequisite: Experience as a medical biller or completion of previous classes.

Sun., Sept. 30
3:00 - 3:15 pm
Room: 515 - Click here for an interactive map of campus. Hint - click on the building to see room numbers.
Fee: $45
$89 material fee (payable in class)
Includes: workbook & tutorial software

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ELECTIVE COURSES

Start Your Own Medical Billing Service

Many medical practices receive most of their income from insurance companies. Thus, medical billing services are in demand.

In this course you will learn:

• How to obtain clients & setting your fees
• Marketing your services
• Where to obtain HIPAA compliant software
• Sample HIPAA Business Associate Agreement & Independent Contractor Agreement
• How to obtain updates from insurance companies
• Sole Proprietorship, Partnership, Corporation & LLC's discussed

 

Sat., October 6
1:00 - 3:00 pm
Room: 514 - Click here for an interactive map of campus. Hint - click on the building to see room numbers.
Fee: $65
$29 material fee (payable in class)

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Medical Front Office Certificate Program

This program has been designed for those interested in becoming a Medical Front Office/Medical Receptionist/Intake Coordinator. This class will prepare you to begin a rewarding career and to become an integral part of the medical office team.

Topics covered include:

• Basic Medical Benefit Terms and Plans
• Eligibility and Insurance Benefit Verification
• Appointment Scheduling
• Improving Telephone Skills
• Patient Arrival, Check-In and Departure
• Handling Medical/Office Forms
• HIPAA/Patient Privacy & Confidentiality
• Medical Terminology (specific to the front office)

This two-part course will be offered under the following format: Part one will be lecture, part two will be a home-study computer course (using your own computer) concentrating on computerized appointment scheduling and new patient set-up. Students are given one month to complete part two of this course.

Wed. & Thu., October 3 & 4
6:30 - 8:45 pm
Room: 514 - Click here for an interactive map of campus. Hint - click on the building to see room numbers.
Fee: $105
$79 material fee (payable in class)
Includes: workbook & tutorial software