1. Release information to persons or agencies according to regulations.
2. Retrieve patient medical records for physicians, technicians, or other medical personnel.
3. Scan patients' health records into electronic formats.
4. Transcribe medical reports.

1. Process and prepare business or government forms.
2. Process patient admission or discharge documents.
3. Scan patients' health records into electronic formats.

1. Assign the patient to diagnosis-related groups (DRGs), using appropriate computer software.

1. Identify, compile, abstract, and code patient data, using standard classification systems.

1. Identify, compile, abstract, and code patient data, using standard classification systems.

1. Resolve or clarify codes or diagnoses with conflicting, missing, or unclear information by consulting with doctors or others or by participating in the coding team's regular meetings

1. Enter data, such as demographic characteristics, history and extent of disease, diagnostic procedures, or treatment into computer.

1. Maintain or operate a variety of health record indexes or storage and retrieval systems to collect, classify, store, or analyze information.

1. Consult classification manuals to locate information about disease processes.

1. Protect the security of medical records to ensure that confidentiality is maintained.

1. Review records for completeness, accuracy, and compliance with regulations.

1. Process and prepare business or government forms.

1. Post medical insurance billings.

1. Compile and maintain patients' medical records to document condition and treatment and to provide data for research or cost control and care improvement efforts.

1. Schedule medical appointments for patients.

This course gives an introduction to BCS of the appropriate documentation required to release patient information, how to audit billing against medical documentation to prevent fraud and abuse, and how to identify laws and regulations relevant to medical coding. Objectives: I. Appropriate Documentation a. Information and implied consent b. Legislation protecting patient privacy II. Billing Audits a. Importance of being compliant III.Laws, Regulations and Administering Agencies a. HIPPA, Stark Law, False Claims Act, Fair Debt Collection Practices Act, Office of the inspector General.

This course the BCS will learn the CMS-1500 form, how to properly fill out the form and how to transmit claims to third party payers. Objectives: I. Transmitting Claims a. Correct claim processing b. Populating correct information on a claim c. The procedures for transmitting a claim d. How to identify the cause of transmission errors e. What are clean and dirty claims II. CMS-1500 Form a. Member information b. Rendering provider

This course is designed to help the BCS to understand how to collect patient information, determine insurance eligibility and amount due on a bill. Objectives: I. Collect patient information a. Collect basic information II. Insurance eligibility a. Identify other patient insurance issues III.Government and commercial Insurance a. What is government insurance b. What id commercial insurance IV. Patient Authorization and Referral forms a. HMO’s b. PPO’s V. Determine Balance Due a. Deductibles b. Copayments c. Coinsurance

In this chapter the BCS will analyze reports, interpret remittance advice, post payments and determine reasons for insurance company denials. Objectives: I. Analyze aging reports a. Manage aging reports b. Assessing the status of accounts II. Interpreting remittance advice a. Components of a RA b. RA’s for Medicare participates III.Post payments IV. Determine reasons for insurance company denial a. Managing denials b. Denial code c. Appeals Process

In this chapter the BCS will examine medical terminology. The apprentice will also develop their knowledge of the ICD and the HCPCS. Objectives: I. Coding guidelines and conventions for diagnoses and procedures a. Comparing ICD-9-CM and ICD-10-CM b. Procedures codes II. Healthcare Common Procedure Coding Systems (HCPCS) a. CPT HCPCS Level I b. HCPCS Level II III.Abstracting medical documentation a. Transfer information from encounter forms b. Coding abstracted information c. Consulting with physicians IV. Common medical terminology a. Body systems and their functions V. Hospital terminology a. Types of facilities b. Hospital departments c. Laboratory testing d. Identifying health care providers