Medical Insurance Billing Courses

Medical Insurance Billing Certificate Award

Course Schedule & Descriptions

 Note: This program utilizes Blackboard. Be sure to get your password and instructions on how to access MyCSUDH when you register.

The term for a particular class is based on when the class ends, not when it begins. For example, a course beginning in April and ending in July is a summer class, and you will find it in the summer schedule. Please check the current term plus the next term to determine all of your schedule options.

YOU MUST ATTEND ALL CLASS SESSIONS TO EARN CREDIT FOR A COURSE, AND YOU MUST COMPLETE ALL REQUIRED COURSES TO EARN A CERTIFICATE.

Course Schedule

Major: Healthcare | Program: Medical Insurance Billing Certificate | * C = Class Cancelled *

* Schedule subject to change; consult with instructor for specific date details | Updated 09/26/19

 Course Descriptions

NBMB 111 | Insurance and Third Party Payers

Noncredit
This course includes detailed reviews of Medicare, Medicaid, 3rd Party Insurance, Worker’s Compensation, Blue Cross and Managed Care. Emphasis includes providing payers with “clean claims” and techniques to employ to minimize claims denials.

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NBMB 112 | 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.

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NBMB 113 | Regulatory Requirements – HIPAA, 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 (HIPAA)
• Ethics.

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NBMB 114 | 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.

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 NBMB 115 | 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.

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NBMB 116 | ICD-10 Diagnosis Coding

Noncredit
Prerequisite: NBMB 115
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-10-CM Coding Book—latest edition & Insurance Handbook for the Medical Office with Student Workbook.

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NBMB 117 | CPT Procedure Coding

Noncredit
Prerequisite: NBMB 115 and 116
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.

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NBMB 118 | Medical Insurance Computer Billing and Applied Billing Techniques

Noncredit
Prerequisite: NBMB 115, 116, and 117
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.

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 Books & Materials

Books and materials should be available in the University Bookstore and other retailers. Students will use the following textbooks for the entire program:

NBMB 111, NBMB 112, NBMB 113, NBMB 114, NBMB 118
Required: Insurance Handbook for Medical Office with Student Workbook, Fordney, 15th Edition

NBMB 115
Required: Medical Terminology: A Short Course, Chabner, 8th Edition

NBMB 116
Required: ICD-10-CM 2020: The Complete Official Codebook, AMA

NBMB 117
Required: CPT 2019 Professional Edition, AMA

Students should bring the required text(s) to each class.