Training

Business and Management

Medical Office Administrative Procedures

Start: TBA       Type: Evening / Weekend Classes       Duration (hr): 175

COURSE DESCRIPTION:

This course familiarizes the students with different patient account and management procedures and helps develop confidence and skills necessary to become successful in performing the duties of Medical Office Administrator. Also this course introduces the students how to do  business with two-sided process, were from one side are patients, which come to the Medical office for the treatment; from another side are Medical Doctors, that provide medical services to the patients. It introduces the basic medicine language concepts to help students develop their medical vocabulary. On completion of this course the student will be able to identify, spell and define medical terms related to diagnosis, pathology and treatment of the major body system. Students will learn, understand and complete HCFA’s requires billing forms, including physician billing balance, billing and collection procedures, third-party payment policies and follow-up procedures will be discussed in details. Computerized procedures essential for effective managing and billing in today’s medical office will be implemented during this course. 
 
COURSE OBJECTIVES:
Upon completing this course and to demonstrate competency in this course, the students will be able:

 

  • To obtain proficiency in analyzing medical words
  • To understand how the element relates and applies to medicine
  • To divide words so as to recognize proper component elements
  • To identify word terminals and know their meanings
  • To develop new words by combining root elements, terminals, and prefixes
  • To pronounce medical words correctly and to use a medical dictionary for verification
  • To process a variety of billing transactions using Patient Account Billing Software to acquire medical billing skills highly
  • regarded in the health care profession.
  • Define Third-party reimbursement method.
  • Understand Legal issues, explain Strategies for Protection and Preventions.
  • Implement the knowledge in assigning CPT-4 and ICD-9 codes using different sources such as manuals, different computerized programs.
  • To perform Life Cycle steps of an Insurance Claim including Maintaining Insurance Claim Files
  • To file Workers Compensation and Commercial Claims
  • To define general Insurance contracts
  • Describe the advantages of computerized Billing including posting adjustments from procedure entries and payment entry screens.
  • Enter and Edit patient information
  • Enter and edit charges and payment information for the patients
  • Implement Reimbursement and Collection skills
  • Establishing and maintaining Chain of Command in Medical Facility
  • Establishing, running and supervising Front Desk (including Referrals System and Medical Record
  • Work with Insurance companies and set up correct position of Collection Department in front of Insurance companies in order to approach the main goal: to have paid all outstanding medical bills
  • Interview (patients and family members) effectively (by telephone and in the office); orient them to office policies, treatment and procedures
  • Establishing and maintaining proper telephone management
  • Get knowledge about instruments, commonly used in Medical Office
  • Work with Supply companies.

 

The Following Topics will be covered:

 

Medical Terminology
Introduction to Health Insurance
Introduction to Health Insurance
Life Cycle of an Insurance Claim
Life Cycle of an Insurance Claim
Health Information Management and Coding
Health Information Management and Coding
CMS Reimbursement
Collection
Tricare. Medicate. Medicare
Major Medical
Major Medical
Legal and Ethical Issues
Handling of Workers Compensation Cases
Creating and Running Medical Office
Responsible Medical Practice
Telephone Techniques
Patient Scheduling
Medical Record Management
Written Communications
Medical Insurance
Supervising Billing and Collection
The Medical Office Manager
Choosing a Health Plan
Human Resources Management
General Examination Instruments

 

 

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