CTK Health Care | Medical and IT Training Institute in Irving, TX

Phone#: 214-441-3556
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Program Objective(s)

The Medical Insurance Billing & Coding Specialist [MIS] program trained students to review medical
records, their accuracy, and process various medical documents. The completers of this program are able
to work with health-related information where they can use the knowledge and skills to collect, analyze,
store, retrieve, and communicate information for the support of operations, management, and decision-
making process in a medical facility or health care related industry. Furthermore, they can advance the
skills learned to computerization of information. In this program, students receive instructional as well as
hands-on training in anatomy & physiology, medical terminology, law and ethics, insurance billing and
coding, various types of insurance and their claims, and reimbursements, medical office procedures,
records management system software, accounts receivable, and accounts posting. In addition, completers
will be able to compile, analyze, and maintain medical records of patients in a consistently professional
manner that is aligned per medical, and regulatory requirements of the healthcare system. Moreover, they
can classify medical and healthcare cases, including diagnosis, procedures, medical and clinic services,
into the healthcare industry's numerical coding system. Furthermore, the completers are entitled for the
jobs titled as Medical Biller, Medical Coder, Health Information Clerk, Health Information Specialist,
Health Information Technician (Health Information Tech), Medical Records Clerk, Medical Records
Coordinator, Medical Records Technician (Medical Records Tech), Registered Health Information
Technician (RHIT), Account Receivable (AR) callers, Medical Billers & Coders, Revenue Cycle
Manager, Health Information Technologists and Medical Registrars, Insurance Claims and Policy
Processing Clerks, Medical Transcriptionists, Optician, Dispensing, Cardiovascular Technologists &
Technicians, Health Information Technologists & Medical Registrars, Insurance Appraisers, Medical
Secretaries & Medical Administrative Assistants. Above all, at the end of the completion of the program
students will be able to learn in details on the following skills-

 Able to code data and other related other information and classify materials according to standard
systems.
 Collect medical information from patients and their family members & their histories.
 Able to communicate with management or other staff to resolve problems.
 Able to create databases to store electronic data and develop procedures for data management.
 Able to evaluate applicable laws and regulations to determine impact on organizational activities.
 Able to maintain security and medical facility records.
 Able to manage healthcare operations, market products, services, or events.
 Able to perform clerical work in medical settings and prepare healthcare training materials.
 Able to present medical research reports and promote educational institutions or programs.
 Able to supervise medical support personnel, test computer hardware & Software performance.
 Able to train caregivers or other non-medical personnel.

Objective and Marketable skills Delivery System

Each course of this program is an unique study which allows the student to have hands-on training in the concept involved in the course during lecture, lab and project activities. The lecture is set up for the combination of learning activities including simulating a Billing Coding business. Furthermore, each course will allow the student to learn about the working practice as a Biller and to implement the job of a Medical Billing Coding Specialist using Billing software. During the lecture time, instructor engage the students in the virtual classroom through lecture, lab & project work which are designed to help the students understand and utilize the importance of various aspects of specific Medical Insurance, Insurance Management, Billing procedure, Principles of Health Insurance (PHI), ICD-10, CPT-4 Coding. Additionally, Instructor fully engage the students through various analogies and pictorial views about Healthcare Common Procedure Coding System (HCPCS), Professional Development and Professional Coding Certification, Anatomy, Physiology, Medical Terminology, Health Information System and etc. In summary, during the delivery of the concepts and skills, students will be fully engaged to learn, understand, thinking with creativity and implement to the following marketable occupation-specific and technological skills .

 Assign the patient to diagnosis-related groups (DRGs), using appropriate computer software.
 Compile and maintain patients' medical records to document condition and treatment and to
provide data for research or cost control and care improvement efforts.
 Consult classification manuals to locate information about disease processes.
 Enter data, such as demographic characteristics, history and extent of disease, diagnostic
procedures, or treatment into computer.
 Identify, compile, abstract, and code patient data, using standard classification systems.
 Maintain or operate a variety of health record indexes or storage and retrieval systems to collect,
classify, store, or analyze information.
 Post medical insurance billings.
 Process and prepare business or government forms.
 Process patient admission or discharge documents.
 Protect the security of medical records to ensure that confidentiality is maintained.
 Release information to persons or agencies according to regulations.
 Resolve or clarify codes or diagnoses with conflicting, missing, or unclear information by
consulting with doctors or others or by participating in the coding team's regular meetings.
 Retrieve patient medical records for physicians, technicians, or other medical personnel.
 Review records for completeness, accuracy, and compliance with regulations.
 Scan patients' health records into electronic formats.
 Schedule medical appointments for patients.
 Transcribe medical reports.
 Accounting software’s like Billing software; NDCMedisoft; QMSoftware Receivables
Management
 Classification software such as 3M Encoder; American Medical Association CodeManager;
Computerized indexing systems; DRG grouping software
 Medical software such as eClinicalWorks; EHR software EpicSystems  MEDITECH
software; Welford Chart Notes
 Encoder software, Microsoft Outlook, Coding data software, Microsoft word, Excel

Class Schedule:

Each module of the program is an independent unit. However, the program is based on a cyclical schedule where, for example a new student may start on the program on the third module, but after completing the last module, will circle back to the first module, to complete the first remaining modules.

Career Growth Opportunities:

Because of the rapid growth in the number of medical tests, corresponding treatments and procedures career opportunities will be increasingly grow as the patient services scrutinized by third party payers, regulators, courts, and consumers, Jobs of Medical Insurance and Coding Specialists is expected to grow much faster than the average for all other healthcare occupations. The employment growth and the new jobs are expected in Doctors offices, and corporate services due to increasing demand for multiple treatments and detailed records. Furthermore, Rapid growth also is expected in long term care (LTC) facilities, home healthcare & Home care services, mental healthcare & rehabilitation facilities, insurance companies, consulting firms, law offices and outpatient care centers including vision, dental care, and pain medicines & centers.

Medical Billing & Coding Job Opportunities and Salary Ranges

The completers of the program may have the Followings Work Settings but not limited to: • Law Offices, Insurance Filing, processing firms • Dental Offices , Medical office • Hospitals, Medical Transcriptionists • Specialty Clinics • Independent Transcriptionists. • Billing Private and Third Party • Diagnostic Coding • Office Accounting • Front Office Procedures • Scheduling Surgeries • Office Management • Posting Fees and Charges/Payments • HIPAA Occupational Outcomes • Dental/Medical Billing Specialist • Medical Records Specialist • Medical/Dental Accounting • Medical/Dental Insurance Specialist The average starting salaries for the various titles job could vary in range depending on past work experience, continuing education and geographic location which can be find by referring to www.salary.com and http://www.bls.gov/.

Course Descriptions

Basic Computers in Healthcare Information Technology [ HIT] [MIS -101]: This course is designed to teaches students about the basic information about the computer application which includes Microsoft office and Basic operating system. Furthermore, it introduces the use of computer to create, edit, saving and customize word document, attachment of a document, screen shares, screen shot and to create PowerPoint slides. It also teaches the basic computer operating system and to implement professional computing and careers including email system such as outlook and use of Excel for billing matters. Subject Hours [ Lec/lab/Proj/Total; 10/20/00/30]; Prerequisite : None

Anatomy & Physiology, and Pharmacology [ MIS-201]:

This course is a study of human anatomy and physiology. Lectures systematically take the student from the microscopic level through the formation of organ systems, with emphasis on the interdependence of these systems. Functional concepts and internal structure are related to surface anatomy as a basis for performing a physical examination. The physiology lectures will provide the overall physiology of the human body, but will also relate how that physiology breaks down or malfunctions in time of infection, disease, trauma and aging. Upon completion of this subject students will be able to recall the organ systems of the human body and describe how each system is interdependent on the others. Furthermore, It introduces students to prescription medications used in treating diseases of the various systems and disorders. Students learn to distinguish drugs by major classifications, drug actions and reactions and will learn to use drug reference materials normally found in the pharmacy practice. They learn to identify and will be able to describe the use and side effects of prescription medications, nonprescription medications Prerequisites: None. Subject Hours: [ Lec/lab/Proj/Total; 30/30/00/60]

Medical Terminology, and Pathology [MIS-202]

This course is a study of the language and nomenclature of medical vocabulary system. It includes structure, recognition, analysis, definition, spelling, pronunciation, and combination of medical terms from prefixes, suffixes, roots and combining forms. Upon completion of this subject students will be able to recognize, pronounce and define medical terms common to the pharmacy practice. It further introduces students to the language and nomenclature of medicine via study of the structure, meaning, and use of medical terms related to diseases, operations, and the human body. Furthermore, It continues the study of human diseases, the processes that cause disease, and ways in which disease signals signs symptoms, including physical and laboratory findings. They will be able to describe the aging process and how the physiology breaks down or malfunctions due to infection, disease, trauma and aging. Prerequisites: None [30/30/00/60]

Electronic Medical Records [EMR] Theory: MIS- 301

It includes the concepts of software applicable to health care that includes Electronic Medical Record (EMR) System. This course introduces basic features of selected software, terminology related to hardware, software and uses for patience. Students will learn about how to communicate as an effective partner in a healthcare team, managing patient-specific data to protect patient confidentiality and privacy, and teaches the skills to navigate an electronic health record system to protect the confidentially work in a variety of healthcare settings. Prerequisites: None [40/40/00/80]

Electronic Health Records[EHR] Simulations & Case studies: MIS- 302

This class teaches the Effective electronic health record (EHR)-based training interventions through simulation which emphasizes learning actual tasks through experimentation in a risk-free environment without negative patient outcomes. This training is used to improve EHR use to enhance the healthcare providers’ skills and behaviors. It further studies case by case documents related to an increase in adverse patient safety issues due to the EHR-user interface. Prerequisites: MIS-301[35/45/00/80]

Principles of Health Insurance Claims, Reimbursements & HIPPA compliance

:MIS -303 Students will learn to fill out insurance paperwork, for insurance companies, Medicare and government insurance forms and be able to reclaim and Investigate any amounts that are not reimbursed to the doctor’s office. Students will learn to process insurance paperwork including claim forms and reimbursement procedure for various insurances policies. They will be able to Investigate any amounts that are not reimbursed to the doctor’s office. It teaches the Health Insurance Portability and Accountability Act (HIPAA), privacy policy and the commitments of healthcare employee and entities to the level of privacy protection. It further teaches the compliance with regulation to provide the patient with adequate privacy protection, in the context of the United States of America. Prerequisite: None; [Lec/lab/Proj/Total: [80/50/00/130]

Medical Billing Theory & Practice MIS- 401

Upon completion of this course, the student will have an advanced working knowledge of how to use various billing software programs and identify the basic elements of insurance plans. This course also identifies elements of the revenue cycle, as it relates to inpatient and outpatient reimbursement, insurance procedures and Medicare regulations. The focus is on disease and procedural coding for the IPPS, DRG, APC and UHDDS definitions, guidelines, conventions and correct sequencing for optimal reimbursement. Prerequisite; None; [40/40/00/80]

Diagnostic and Procedural Coding and Reimbursement Methodology Outpatient MIS -402

This teaches students the theory and practice of medical coding for professional services, procedures and supplies using CPT (Current Procedure Terminology) and Healthcare Common Procedure Coding System (HCPCS) Level II system and modifiers. Furthermore, students will apply coding conventions and guidelines and follow instructional notes for professional provider evaluation and management & surgical cases. In addition to radiology, laboratory and anesthesia reports, outpatient medical records and scenarios will be utilized to access student knowledge and ability to apply NCCI edits. Prerequisites: MIS-401, [35/35/00/70]

ICD-10-CM/10PCS Coding and Inpatient Reimbursement Methodology: MIS -501

It also describes the basics of the ICD-10-CM diagnostic classification system, including its history, current purposes, and future implications including the basics of ICD-10-CM, current purposes, and future implications on healthcare finance in the United States. Furthermore, it teaches to recognize ICD- 10-CM diagnosis codes and use code reference books to verify their appropriate use and to recognize ICD-10-PCS. Moreover, this course teaches the student to demonstrate the use of ICD-10- CM/10PCS book and CPT book. This further demonstrate how to code different procedures and diagnoses related to body systems; demonstrate how to use different modifiers, demonstrate how to code Evaluation and Management, Anesthesia, Pathology and Laboratory, Radiology and Medicine; also demonstrate proper procedures for reimbursement methodologies and coding for medical necessity. Prerequisite; None; Clock Hours: [40/50/00/90]

Practice Management and Health Data Management MIS- 502

It teaches the Fundamental components of this course that not only includes introduction of the medical administrative professional but also to integrate electronic health records systems into professional practice. Furthermore, the student will receive instruction in medical office accounting, revenue cycle management techniques, evaluating the practice assets, human resource management, developing office policy, business ethics, and legal requirements necessary for establishing and maintaining the medical practice for a viable business. Prerequisite; MIS-501; [Lec/Lab/Proj:35/25/00/60]

Career Overview, Job Search & Interview Skills, and Resume Writing; MIS-601

This course will provide students with effective job search strategies in MIS. Through lectures, interactive group activities including Discussion Board, students will learn about diverse strategies to obtain employment under various title of MIS per company policy. Serious emphasis will be placed on resume and cover letter writing to develop career portfolio, networking, interviewing techniques. After successfully completing this course, students will be able to articulate personal strengths, values and interests as it relates to their personal and professional development, accurately complete a Job Application that incorporates education and training, previous employment experiences and transferable marketable skills, able to create a resume and cover letter for the position that incorporates their education, skills and abilities. Identify the use of STAR interviewing method to articulate the skills and qualifications to obtain employment In MIS field of healthcare industry. Prerequisite: None; [Lec/lab/Proj/Total:10/10/00/20]

Capstone project: MIS-701

In this course students will be able to understand all the concepts and skills learned in previous courses in further deeper level. Furthermore, they will be able to implement their understanding to solve the various cases and issues in Medical Billing and coding field. In that end they will apply their deep understanding to the real-world life case studies in the form of a project provided by the instructor at the beginning of the course and students have to submit the completed project by the end of the assigned due dates. Prerequisites: MIS 502; Lec/lab/Proj/Total: [10/00/130/140]

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