WF_Dental Billing & Coding

Dental Coding

After completing this course, you should be able to:

• Identify components of a dental procedure code entry
• Define categories of service and code series
• Recognize CDT definitions, key concepts, and potential clinical scenarios
• Describe how to use dental procedure codes (CDT) and diagnostic codes (ICD) 
• Recall how to classify materials used in procedures

Medical Billing

After completing this course, you should be able to:

• Identify the core elements of health insurance
• List features of the different coding systems and their documentation
• Define the features of processing claim forms both electronic and paper
• Recall the basics of fee and insurance collection
• Recognize the features of various health care payer types

Keyboarding Made Easy

After completing this course, you should be able to:

• List ways to become familiar with the keyboard layout
• Identify correct techniques for keyboarding and ways to improve skills
• Recognize different styles of text
• Recall how to keyboard for personal and business writing
   

Email Etiquette: Netiquette

Upon completion of this course, you should be able to:

• Recognize the basics of using e-mail
• Define e-mail etiquette
• Recall proper planning and structuring techniques for e-mail
• Recognize safe and unsafe e-mailing techniques, including security issues and viruses

Dental Coding

Dental Coding Module 1
Code on Procedures and Nomenclature

• Categories of Service
• Components of a Dental Procedure
• Using the CDT Code
• Classification of Materials
• CDT Code Changes

Dental Coding Module 2
ICD-10-CM Codes Relevant to Dentistry

• Codes Applicable to Dentistry
• Dental Encounters
• Dental Caries
• Disorders of Teeth
• Pathologies
• Trauma and Injuries
• Alphabetic Index to the CDT Code
• Numeric Index to the CDT Code

Dental Coding Module 3
The CDT Code: What It Is and How to Use It

• Categories of Service
• Subcategories
• Components of a CDT Code Entry
• What If There is No Code Describing a Procedure?
• Narratives for “By Report” CDT Codes
• CDT Code Maintenance: Additions, Revisions, and Deletions
• Dental Procedure Codes and Diagnosis Codes
• Dental Procedure Codes vs. Medical Procedure Codes
• Claim Rejection

Dental Coding Module 4
Diagnostic and Preventive

• Key Definitions and Concepts
• Evaluations
• Imaging
• Prophylaxis
• Changes in the Category
• Diagnosis Codes – ICD-10-CM
• Coding Scenarios
• Coding Q&A

Dental Coding Module 5
Restorative and Endodontics

• Key Definitions and Concepts
• Direct and Indirect Restorations
• Explanation of Restorations
• Changes in the Category
• Diagnosis Codes – ICD-10-CM
• Coding Scenarios
• Coding Q&A

Dental Coding Module 6
Periodontics and Prosthodontics, Removable

• Key Definitions and Concepts
• Quadrants
• Recession
• Gingivitis
• Denture Repair
• Changes in the Category
• Diagnosis Codes ICD-10-CM
• Coding Scenarios
• Coding Q&A

Dental Coding Module 7  
Maxillofacial Prosthetics and Implant Services

• Key Definitions and Concepts
• Basic Implant
• Implant Post/Body/Fixture
• Implant Prosthesis
• Abutment vs. Retainer
• Changes in the Category
• Diagnosis Codes ICD-10-CM
• Coding Scenarios
• Coding Q&A

Dental Coding Module 8
Prosthodontics, Fixed and Oral and Maxillofacial Surgery

• Key Definitions and Concepts
• Changes in the Category
• Diagnosis Codes ICD-10-CM
• Coding Scenarios
• Coronectomy
• Hyperplastic Tissue Excision
• Oroantral Fistula
• Coding Q&A

Dental Coding Module 9
Orthodontics and Adjunctive General Services

• Key Definitions and Concepts
• Changes in the Category
• Diagnosis Codes – ICD-10-CM
• Crowding
• Crossbite
• Medically Necessary Care
• Dental Benefit Coverage
• Managed Care Plans
• Procedure Denials
• Compliance Audits and Utilization Review

**Outlines are subject to change, as courses and materials are updated.**

Medical Billing

Medical Billing Module 1
Basics of Insurance Billing and Compliance

• Insurance Billing Specialist
• Insurance Claims, Coding, & Billing Background
• Medical Etiquette
• Medical Ethics
• Health Insurance Portability and Accountability Act (HIPAA)
• Fraud and Abuse Laws
• Compliance Programs
• Health Care Reform
• Insurance Policies

Medical Billing Module 2
Basics of Health Insurance

• History of Health Insurance in the United States
• Health Care Reform
• Types of Health Insurance Coverages
• Private Health Insurance
• Managed Care Systems
• Financial Management
• Medicare
• Policies and Regulations
• Medicare Reimbursement
• Claim Submission

Medical Billing Module 3
State Programs and Veterans’ Health Care

• Medicaid Programs
• Medicaid Eligibility
• Medicaid Benefits
• Medicaid Managed Care
• TRICARE
• History of Tricare
• Health Plans
• Veterans Health Administration Program

Medical Billing Module 4
Workers’ Compensation and Disability Programs

• Workers’ Compensation Laws and Insurance
• Types of State Compensation Benefits
• Fraud and Abuse
• Legal Situations
• Reporting Requirements
• Disability Claims
• Disability Income Insurance
• Federal Disability Programs
• State Disability Insurance
• Voluntary Disability Insurance

Medical Billing Module 5
Documentation and Coding for Professional Services

• Documentation Process
• Electronic Health Records
• Health Record Documentation
• Review and Audit of Health Records
• Diagnostic Coding
• Official Guidelines for ICD-10-CM
• Procedural Coding
• Current Procedural Terminology Content and Format
• Code Modifiers

Medical Billing Module 6
Claims Submission in the Medical Office

• The Paper Claim CMS-1500
• Types of Submitted Claims
• Health Insurance Claim Form (CMS-1500)
• Claim Completion Guidelines
• Electronic Claims
• Clearinghouses
• Claim Attachment Standards
• Practice Management System
• Computer Claims Systems

Medical Billing Module 7
The Claim Follow-Up and Payment Process

• Revenue Cycle Management
• Claim Policy Guidelines
• Explanation of Benefits
• Claim Management Techniques
• Rebilling
• Review and Appeal Process
• Filing an Appeal
• Collection Strategies
• Accounts Receivable

Medical Billing Module 8
Healthcare Facility Billing

• Ambulatory Surgery Centers
• Payment Systems
• Payment Rates
• Revenue Cycle Management
• Medical Records for Reimbursement
• Hospital Outpatient and Inpatient Billing
• Employment Opportunities
• Self-Employment

**Outlines are subject to change, as courses and materials are updated.**

Keyboarding Made Easy

Keyboarding Made Easy Module 1
Basic Keyboard Positions

In module one, we will begin with becoming familiar with the keyboard layout.  We will explore letters JFKD, the Space Bar, the Enter key, letters HGIE, letters LSA and Semicolon, letters URYT, and letters NVBMC.  Also included in module one is proper hand positioning.

• Preparing to Keyboard
• Learning the Keyboard
• Naming Your Fingers
• Home Row
• Position of Hands

Keyboarding Made Easy Module 2
Special Characters and Letter Combinations

Module two looks at corrective and improvement techniques in keyboarding.  Also included is using special character keys and keying letter combinations.

• Using the Shift Keys
• Corrective and Improvement Techniques
• Calculating Errors 
• Keying Letter Combinations
• AutoBlend Prefixes

Keyboarding Made Easy Module 3
Alignment and Calculations

After looking at aligning text and proper positioning using tabs, module three will take us through different styles of text.  Also included in module three is the number row and special characters included on the number keys.  Once you are familiar with the keys, we can start working on our words per minute!

• Text Alignment
• Positioning Text Using Tabs
• Using Text Styles
• AutoBlend Suffixes
• Calculating WPM

Keyboarding Made Easy Module 4
Putting the Strokes Together

After becoming familiar with the numeric keypad, module four will discuss how to write and format personal and business letters.  Also included in this module is using electronic communication and creating newsletters. 

• Using the Numeric Keypad
• Writing and Formatting a Personal Letter
• Writing and Formatting a Business Letter
• Fax Cover Sheets
• Creating a Newsletter
   

Email Etiquette: Netiquette

E-Mail Etiquette: Netiquette Module 1
Introduction to E-mail

Module one will look at one of the possibly greatest inventions of our lifetime. E-mail takes an increasingly amount of our time and in module one, we will look at how to maximize our time.  Also included in this module is a discussion on the seven deadly sins of e-mail and how to avoid them. 

• The Impact of e-Mail on Business
• International Considerations
• Seven Deadly Sins of e-Mail
• Top 10 Complaints about e-Mail in Practice
• Maximizing the Potential of e-Mail

E-Mail Etiquette: Netiquette Module 2
E-mail Etiquette

Module two will examine how to create well written emails, to include the subject line, the message itself, and the signature block.  Also included in module two is organization basics.  Just as with any filing system, your emails should be organized into folders and mail should be processed in a proficient method that works best for you.  In module two we will look at tips to use to best manage your e-mail.

• Processing Mail
• Using Folders
• Looking Good Online
• SMART Subject Lines
• Ending Your Message & Signatures

E-Mail Etiquette: Netiquette Module 3
Relationships Through e-Mail

Building relationships through email may seem difficult, but module three will provide you with tips that will guide you to writing great e-mails. E-mails that are not so routine need more thought and careful planning.  Module three will look at how to use the simple Four Point Plan for proper e-mail structuring.  Also included in this module is how to establish long lasting bonds and how to develop rapport with others through this mode of communication.

• Writing Great e-Mails
• The Four Point Plan in Practice
• Using e-Mail to Build Relationships
• E-Mail Can Affect Careers
• Star Tips for Creating Bonds and Developing Rapport

E-mail Etiquette: Netiquette Module 4
Nurturing Your e-Mail Netiquette

Who you are writing to depends on whether or not you should follow grammar rules.  Module four will examine proper use of grammar in your e-mail and help you spruce up your skills.  Also included in module four is the overall function of spam filters and basic security and virus issues you may encounter with your e-mails and what you can do to protect your messages.

• Spruce Up Your Cyber-Grammar Skills
• Spam Filters, Mail Bombing, Snooping and Harassment
• Security Issues
• Protecting Your Messages
• Computer Viruses

Dental Coding

Upon successful completion of this Dental Coding course, students will be prepared, in part, to sit for the American Dental Coders Association Certified Dental Coder (CDC) exam. The CDC exam is open to students with proof of 2 years Dental Billing and Coding experience.

Medical Billing

Upon successful completion of our Medical Billing course, students will be prepared for an entry-level position doing medical billing in a medical office setting and will be prepared to sit for the Med-Certification exam to become a Certified Medical Billing Specialist (CBS) or the AAPC certification exam to become a Certified Professional Biller (CPB).

** Certification exams are not included in the cost of the course.**

Internet Connection

• Broadband or High-Speed - DSL, Cable, and Wireless Connections

*Dial-Up internet connections will result in a diminished online experience. Classroom pages may load slowly and viewing large audio and video files may not be possible.

Hardware Requirements

• Processor - 2GHz Processor or Higher
• Memory - 1 GB RAM Minimum Recommended

 

PC Software Requirements

• Operating Systems - Windows 7 or higher
• Microsoft Office 2013 or higher. Also, you could use a general Word Processing application to save and open Microsoft Office formats (.doc, .docx, .xls, .xlsx, .ppt, .pptx)
• Internet Browsers - Google Chrome is highly recommended
  • Cookies MUST be enabled
  • Pop-ups MUST be allowed (Pop-up Blocker disabled)
• The Kindle Reader App or VitalSource Bookshelf App are needed for many of our courses (No special equipment needed. This can be downloaded for FREE onto your computer.)
• PowerPoint Viewer (if you do not have PowerPoint)

• Adobe PDF Reader

• QuickTime, Windows Media Player &/or Real Player

 

MAC Software Requirements

• Operating Systems - Mac OS x 10 or higher with Windows
• Mac office programs or a Word Processing application to save and open Microsoft Office formats (.doc, .docx, .xls, .xlsx, .ppt, .pptx)
• Internet Browsers- Google Chrome is highly recommended
  • Cookies MUST be enabled
  • Pop-ups MUST be allowed (Pop-up Blocker disabled)
• The Kindle Reader App or VitalSource Bookshelf App are needed for many of our courses (No special equipment needed. This can be downloaded for FREE onto your computer.)
• PowerPoint Viewer (if you do not have PowerPoint)
• Adobe PDF Reader
• Apple QuickTime Media Player