Lesson Plan with Activities:
 

Introduction to Medical Terminology

Unit 1: Introduction to Word parts
Four word parts (word root, suffix, prefix and combining vowels)
Guidelines for using combining vowels
Analyzing and defining medical terms
Body structure, Color and Oncology
Anatomy & Word parts
Combining forms for body structure
Combining forms for terms like color, prefixes & suffixes
Medical Terms
Oncology & Complementary terms
Directional terms and anatomical Planes and Regions

Unit 2: Integumentary systems
Anatomy & Word Parts
Combining forms for the Integumentary System
Prefixes and suffixes
Medical Terms
Disease and Disorder terms
Surgical & Complimentary terms
Abbreviations

Unit 3: Respiratory System
Anatomy & Word parts
Combining Forms for the Respiratory System
Prefixes & Suffixes
Medical Terms
Disease and Disorder Terms
Surgical & Complementary Terms

Unit 4: Urinary System
Anatomy & Word parts
Combining Forms for the Urinary System
Prefixes & Suffixes
Medical Terms
Disease and Disorder Terms
Surgical & Complementary Terms

Unit 5: Male Reproductive system
Anatomy & Word parts
Combining Forms for the Male Reproductive System
Prefixes & Suffixes
Medical Terms
Disease and Disorder Terms
Surgical & Complementary Terms

Unit 6: Female Reproductive system
Anatomy & Word parts
Combining Forms for the Female Reproductive System
Prefixes & Suffixes
Medical Terms
Disease and Disorder Terms
Surgical & Complementary Terms

Unit 8: Cardiovascular and Lymphatic Systems
Anatomy & Word parts
Combining Forms of the Cardiovascular Systems and Lymphatic Systems
Prefixes & Suffixes
Medical Terms
Disease and Disorder Terms
Surgical, Procedural & Complementary Terms

Unit 9: Digestive Systems
Anatomy & Word parts
Combining Forms for the Digestive Tract
Combining Forms for the Accessory Organs
Digestive Systems Terms
Medical Terms
Disease and Disorder Terms
Surgical, Procedural & Complementary Terms

Unit 10: Eye
Anatomy & Word parts
Combining forms for the eye
Prefixes and Suffixes.
Medical Terms
Disease and Disorder Terms
Surgical, Procedural & Complementary Terms

Unit 11: Ear
Anatomy & Word parts
Combining forms for the ear
Prefixes and Suffixes.
Medical Terms
Disease and Disorder Terms
Surgical, Procedural & Complementary Terms

Unit 12: Musculoskeletal System
Anatomy & Word parts
Combining forms of the Musculoskeletal System
Combining forms for the Joints.
Prefixes and Suffixes.
Medical Terms
Disease and Disorder Terms
Surgical, Procedural & Complementary Terms

Unit 13: Nervous System.
Anatomy & Word parts
Combing forms of the Nervous System
Prefixes and Suffixes.
Medical Terms
Disease and Disorder Terms
Surgical, Procedural & Complementary Terms

Unit 14: Endocrine System
Anatomy & Word parts
Combining forms of the Endocrine Systems
Prefixes and Suffixes.
Medical Terms
Disease and Disorder Terms
Surgical, Procedural & Complementary Terms

Introduction to Medical Coding

Unit 1: Purpose of the CPT Manuel
Updating the Manuel
CPT Manuel Format
6- CPT Sections
Using the Guidelines
Code formats (Stand-a lone & Indented)
Using Modifiers
Special Circumstances
CPT Index
Service or procedure
Anatomic site
Condition or disease
Eponym

Unit 2: Learning about the Evaluation and Management (E/M Section)
The 17 subsections of the E/M section
Three factors of E/M Codes
Levels of E/M
Key Components
Four Elements of History
History levels
Levels of Examination
Medical decision making
Using the E/M codes
Services & Codes & List the main services and the codes used

Unit 3: Coding Noninvasive Diagnostic Services
Coding Noninvasive Diagnostic Services

Coding Therapeutic Services
History of National Level Coding

Unit 4: ICD-9-CM
Overview of the ICD-9-CM
Define ICD-9-CM
Standards of Ethical Codes
Format and Conventions used in the ICD-9-CM
Volume 2 – alphabetic
Volume 1 Tabular List

Unit 5: Applying the ICD-9-CM
General guidelines
Official coding and reporting guidelines
Two special types of codes
V codes
Late effects

Unit 6: Third Party- Reimbursement
Basic Structure of the Medicare Program
Federal Registrar
Inpatient Diagnosis-Related Groups (DRGs)
Peer Review Organization (PROs)
Outpatient Resource-Based Relative Value Scale (RBRVS)
Prospective Payment system for the Skilled Nursing Facility
Medicare Reimbursement systems
Medicare Fraud and Abuse
Managed Health Care Concept

Computerized Medical Billing

Unit 1: Introduction to MediSoft
Starting and exiting MediSoft
Using Menus & Search in MediSoft Screens
Recording Information on Patients
Terminology
Purpose of the patient information menu option
How the information on the patient is organized
The patient screen
Patient information primary screen
Patient information supplement screen
Navigating between the two patient screens
Inputting information to the patient screen
Primary Screen
Supplement Scren
Changing information on Patients

Unit 2: Scheduling Appointments
Terminology
Office hours Professional Scheduler
Accessing the Scheduler
Exiting the Scheduler
Office Hours Screen
Viewing the Scheduler
Scheduling Appointments

Unit 3: Printing Reports
Report Printing Menu Screen
Printing Reports
Transaction Journal Report
Patient Ledger Report
Patient Aging Report
Insurance Aging Report
Patient Day Sheet Report
Practice analysis Report

Unit 4: Statement and Claims
Terminology
Billing Operations Menu Option
Accessing the Screen
Printing
Patient Statement
Insurance Claim form
Mailing Labels
Insurance carrier Analysis report
Superbills
Electronic Claims
Electronic Claims Menu Options
Submitting electronic claims
Accessing the screen
Creating a file of electronic claims
Printing a verification report
Sending the claims electronically
Printing an audit/edit report

Unit 5: Creating a New List format
Printing Lists
Print List Menu Option
Accessing the Screen
Changing a List

Unit 6: Processing Data at the end of the month
Utilities
Option screen
Accessing the screen
Backing up Data Files
Restoring files
Viewing the Backup Data Files

Unit 7: Simulations
Handling Patient Records
Inputting Patient Information and Transaction data
Scheduling appointments
Making an appointment change
Printing Superbills, Lists, and Reports
Printing a Schedule, Superbills, Day sheet, Aging report
Recording a payment for a past transaction
Searching for past information
Billing Operations
Printing patient statements and insurance claims forms
Changing transactions information for insurance purpose
Printing a dunning statement
Changing the defaults
Filing Electronic Claims
Entry requirements
Reviewing the claim
Using the ECS documentation window

HIPPA Overview

Privacy Standards of Insured
Compliance
Portability of changing insurance companies
Pre-existing conditions
Electronic Standards
Fraud & Abuse Standards
Ethics
Confidentiality