Physicians Billing Certificate Program

The Physicians Billing Certificate Program will prepare you to understand the relationship between diagnostic coding and the procedures and services performed by physicians. You will become proficient in the interpretation of physician handwriting to achieve optimal billing, and you learn the medical billing system. No prior medical background is necessary. This is a Southampton Graduate Campus certification program and is not affiliated with the Long Island University approved programs offered at the Brooklyn and C.W. Post campuses.

Required Courses:
Medical Terminology
ICD-9-CM Coding
CPT Coding
Physicians Billing
Computerized Medical Billing

You will develop medical vocabulary based upon the principles of medical word building. Medical terminology for each body system is discussed, as well as basic anatomy, physiology and pathology for each system.

This course provides essential background knowledge for successful ICD-9-CM coding and other careers within the medical records field such as: admitting, medical transcribing, risk management, DRG and CPT coding, quality assurance, billing, and utilization management. Textbook required.

You will develop an understanding of ICD-9-CM characteristics, principles, rules, conventions and terminology. The formal procedures used to transform verbal descriptions of disease, injuries and medical procedures into codes will be explained. Coding for maximum reimbursement to health care providers will be examined. Textbooks required.

CPT Coding

This course will teach you to utilize the Physician's Current Procedural Terminology (CPT), a listing of descriptive codes used by physicians to identify and report services and procedures.
You will learn to understand the method of coding used by clinics, emergency rooms, out-patient departments and ambulatory surgery units. Coding for maximum reimbursement to health care agencies will be stressed. Textbook required. (30 hours)
Prerequisite: Medical Terminology; ICD-9-CM Coding is also suggested, but not required prior to this course.

Physicians Billing

This course will teach you to use Medical Terminology, ICD-9-CM and CPT Coding skills applicable to billing procedures involving Medicare, Medicaid, Workman's Compensation, No-Fault, disability and all commercial carriers. Discussions will focus on assignment of benefits, limiting charges, documentation of claims, billing for consultations, release of information, super bills and charge tickets, and the coordination of ICD-9-CM and CPT Codes to maximize reimbursement.

You will achieve a comprehensive understanding of optimal reimbursement and medical billing practices and procedures as utilized in today's medical practices. (30 hours)

Computerized Medical Billing

This course will provide an overview of the Medical billing program and hands-on application of the medical billing software utilizing actual insurance forms. You will learn to use computerized medical procedures effectively in managing billing operations. You will learn how to build support and backup files, comprehend and handle error messages and run electronic pre-billing analysis worksheets that are used in today's medical offices. (45 hours)

Prerequisite: Satisfactory completion of core courses, and you must have a working knowledge of personal computers.