Welcome Medical Coding & Insurance! HS220 Wanda Feaster, MBA, CCS-P, CPC E-mail: Wfeaster@kaplan.edu Phone: 678-406-0880

This Week Seminar During the first part of this week's seminar, we will be discussing the Course Syllabus, Grading Criteria, Late Policies, How to earn an “A” for Seminars, Discussions, and Projects. During the second part of this week's seminar, we will be discussing Professional Billing and Coding Careers

Syllabus Found on Doc Sharing Found under Course Tab Methods of communication with me include: 1. E-mail: Wfeaster@kaplan.edu 2. Seminar: Wednesday’s. 3. AIM name: mynuna03 4. Phone: 678-406-0880

Basic Seminar Rules Stay on Topic HOLD UP!! Seminars are recorded Remember your netiquette-please respect everyone! Prepare for live seminar ahead of time Any questions so far??

Seminars Review Rubric Response Organized Real time Moves quickly Come prepared Options 1 and 2

Projects Submit in Microsoft Word Check software compatibility Rubrics Discussion Boards Seminar Participation Projects

Discussion Boards Review Rubric Timely posting Content of Posts Organization of Posts Spell Check Copy/paste Read aloud before submitting Netiquette

How to Succeed Read Syllabus & Announcements Virtual Tutorials Readings Participate Ask questions/communicate Collaborate with class members Stay current in units

Introduction to Billing and Coding Careers Many opportunities can be found for the professional healthcare reimbursement specialist.

Facilities Physician's practice Solo practice: Single physician Small group practice: 2-3 physicians Large group practice: 4-5 or more physicians

Job Titles and Responsibilities Medical Office Assistants- may also be known as an administrative medical assistant, secretary or medical receptionist. Usually work in physician's offices and are considered front office staff administrative duties

Job Titles and Responsibilities Medical Billers- handle submission of insurance claims, data entry, and contacting insurance companies regarding incorrectly paid claims Medical Coders- conduct research and reference check of medical records and are responsible for accurate coding of the primary/secondary diagnoses and procedures

Job Titles and Responsibilities Payment Poster - generally reads the Explanation of Benefits documents issued by insurance carriers and posts the payments or contractual adjustments to the appropriate patient account Medical Collector- contacts patients and insurance carriers to collect money owed to the medical facility

Job Titles and Responsibilities Refund Specialist - analyzes patient accounts to discern whether or not a refund is required, and if so, to whom the money should be returned Insurance Verification Representative- contacts insurance carriers to verify benefit information for patients. May also perform precertification and/or prior authorization of service duties.

Job Titles and Responsibilities Admitting Clerk- responsible for registering and greeting patients, having patients complete paperwork, answering questions, data entry of patient demographic and insurance information, and requesting information and payment

Reasons for Obtaining Certification Stay current in your field. Excellent addition to your resume Professional journals/newsletters Networking

Organizations that Offer Certification American Academy of Professional Coders (CCPC) National Center for Competency Testing (NCCT) National Health career Association (NHA)

Certifications Medical office assistant certification National Certified Medical Office Assistant Certified Medical Administrative Assistant Medical billing certifications Certified Medical Billing Specialist

Questions Texts, everyone? Find your syllabus? Know how to contact me? Your questions?

If you have any questions or issues, remember to stay in contact with me. If you don’t keep me informed throughout the term, I can’t help you. See you on the discussion board!

Good Night & Thank You! Thank you for coming this evening and for your participation! Let’s make this class fun! Wanda Feaster, MBA, CPC, CCS-P E-mail: Wfeaster@kaplan.edu Phone: 678-406-0880

References: Comprehensive Health Insurance Billing, Coding and Reimbursement. Deborah Vines, Elizabeth Rollins, Ann Braceland, Nancy Wright and Judith Haynes. 2009 BY Pearson Education, Inc.