| Medical Insurance Billing
Certificate Award
UPDATED FOR SUMMER 2008!
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The Program
This program is designed to give the students an in-depth
understanding of complex issues involved in
the medical insurance billing industry.
The Location
Classes are held on the CSUDH campus in Carson and at
the Franklin Community Center, 850 Inglewood Ave, Redondo
Beach (directions via Mapquest).
Medical Insurance Billing classes are convenient for people
living and working in or near Los Angeles, Torrance, Long
Beach, Carson, Compton, El Segundo, Palos Verdes, Manhattan
Beach, Hermosa Beach, Redondo Beach, San Pedro, Hawthorne,
Gardena, Lakewood, Paramount, Bellflower, Downey, Inglewood
and other parts of the South Bay and Southern California.
Employment Outlook
Medical insurance billing is a stable and lucrative field
within the medical industry. The business office of every
healthcare provider must provide proper documentation to a
number of insurance companies for reimbursement for services.
Opportunities for employment of insurance billers include
physicians’ offices, clinics, hospitals, and medical
supply companies. The demand is driven by the growing need
for healthcare services of an aging population as well as
the need for individuals able to handle the complexities of
paper and electronic information.
What You Will Learn
Students will gain practical knowledge to enhance their understanding
of medical insurance billing practices as well as learn skills
required to operate efficiently in today’s medical offices,
hospitals and clinics.
Who Should Attend
This program is designed to provide students with comprehensive
training in medical insurance billing. Each course will provide
building blocks for those seeking a career in a physician’s
office, hospital or clinic as well as for those who are seeking
to augment and improve their skills.
Eligibility Requirements
There are NO special eligibility requirements for this program.
Prerequisites are recommended to enhance the learning experience.
Certificate requirements A Certificate of Completion is awarded
upon successful
completion of all courses. Those who do not wish to pursue
a certificate may take individual courses.
Special Features
Classes are offered on Saturdays at the Franklin Community
Center at 850 Inglewood Ave in Redondo
Beach. Medical Insurance Computer Billing will be held at
the CSUDH campus.
Books & Materials
Books and materials are available in the student bookstore
for purchase. Students will use the following textbooks for
the entire program:
• Insurance Handbook for the Medical Office with
Student Workbook
• Medical Terminology: A Short Course
• ICD-9-CM Coding Book
• CPT-4 Coding Book
Students should bring the required text to each class.
Program Instructor
Victoria Morgan FHFMA, MS is the Principal for Morgan &
Associates Health Care Consulting Firm and
has over 20 year of experience in healthcare financial management.
Courses
Insurance and Third Party Payers NBMB 111
Office & Insurance Problem Solving NBMB 112
Regulatory Requirements – HIPPA Compliance & Ethics
NBMB 113
Inpatient / Outpatient Facility Billing NBMB 114
Medical Terminology NBMB 115
ICD-9 Coding NBMB 116
CPT Procedure Coding NBMB 117
Medical Insurance Computer Billing and Applied Billing Techniques
NBMB 118
Class Descriptions
Insurance and Third Party Payers
Noncredit
This course will include detail review of Medicare, Medicaid,
3rd Party Insurance, Worker’s Compensation,
Blue Cross and Managed Care.  Emphasis will include
providing payers with “clean claims” and
techniques to employ to minimize claims denials.
Office & Insurance Problem Solving
Noncredit
This course provides details concerning the Operations within
a Medical Practice. This course will cover topics such as:
Job Descriptions, Human Resources Office Operations, and Best
Practices. Topics will also include follow-up procedures,
collections and utilization of electronic media to improve
cash flow and minimize errors.
Regulatory Requirements – HIPPA, Compliance
& Ethics
Noncredit
This course will focus on the Regulatory Requirements impacting
the operation of the Healthcare/Physician
Practice. Major topics include:
• Regulatory Agencies
• Fraud & Abuse
• False Claims Act
• Medical Necessity Denials
• Compliance programs for Physician Offices
• Compliance Programs for 3rd party billing companies
• Healthcare Insurance Portability & Accountability
Act (HIPPA)
• Ethics.
Inpatient / Outpatient Facility Billing
Noncredit
This course will focus on entitles which bill for facility
charges using the UB-92.  Specialized billing requirements
for Hospital Inpatients, Outpatients, Therapies, and Home
Health will be covered. Reimbursement systems such as Diagnostic-Related
Groups (DRGs) and Outpatient Prospective Payment System (OPPS
or APCs) will be reviewed.
Medical Terminology
Noncredit
Provides an overview of medical terminology including prefixes,
suffixes, roots and combining forms. Students will learn about
the various body systems as they relate to medical terminology.
Also covered will
be medical abbreviations and exercises on how to read medical
reports. This course is a good foundation for anyone working
in a medical environment. Students should bring the required
textbook to class: Medical Terminology: A Short Course.
ICD-9 Diagnosis Coding
Noncredit
Prerequisite: Medical Terminology or equivalent
coursework and/or experience are recommended. This course
will provide a basic understanding of Diagnosis Coding Principles.
The basic steps in coding will be reviewed and students will
be able to
practice with actual coding exercises. Students should bring
the required textbooks to class: ICD-9-CM
Coding Book—latest edition & Insurance Handbook
for the Medical Office with Student Workbook.
CPT Procedure Coding
Noncredit
Prerequisite: Medical Terminology or equivalent
coursework and/or experience are recommended. Students will
develop a firm foundation for medical insurance billing with
a thorough knowledge of CPT coding. This course is specifically
designed and
taught for people with little or no experience in the medical
field. Begin with the basics and develop a
clear and concise understanding of the procedure coding systems
to help formulate an accurate insurance
claim that will maximize reimbursement. Students should bring
the required text to class: CPT-4 Coding Book—latest
edition & Insurance Handbook for the Medical Office with
Student Workbook.
Medical Insurance Computer Billing and Applied Billing Techniques
Noncredit
Medical Terminology, ICD-9 and CPT Coding are suggested prerequisites
for the class.
Learn the basics of using a computer in medical insurance
billing. Learn how to build a patient information database,
how to input patient and insurance information, and the ins
and outs of electronic claims submissions that will produce
third-party insurance claim forms and patient billing statements.
A review of the information needed to set up a computerized
medical insurance billing practice is included. Previous computer
experience is not necessary. This course will also provide
hands-on practice with the opportunity to simulate common
activities in a “day in the life” of a Medical
Office biller. Focus will include collecting data, charges
and coding to create “clean” claims. Students
should bring all required textbooks to class.
Schedule/Costs
For Further Information
For further information contact: Babette Wald: bwald@lists.csudh.edu
To Register
Call 310-243-3741 or 877-GO-HILLS
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