Dental Billing & Coding

Price: 
$2,500.00
Category: 
Medical & Healthcare
Combined Hours: 
450
Course Type: 
Mentor Supported
Bundled Courses: 
Medical Billing
Dental Coding
  • Description
  • Objectives
  • Outline
  • Materials
  • Certification
  • System Requirements
  • Watch a Demo

Our Dental Billing & Coding course will provide you considerable insight into the procedure of billing and insurance related to dental care. Learn this new career today!

 

Medical Billing

Medical Billing is listed as one of the fastest growing professions in allied health. The medical industry is experiencing a tremendous demand for individuals with knowledge of medical office operations, which includes diagnostic and procedural insurance forms processing. This Medical Billing course covers all the plans that are most commonly encountered in clinics and physicians' offices. An emphasis on the role of the medical insurance specialist prepares you for success in the workplace, including areas such as diagnostic coding, procedural coding, Medicare, HIPAA and bill collection strategies. Our Medical Billing course will give you the skills you need to be competitive in the healthcare marketplace.

Prerequisite(s): None

Dental Coding

Current Dental Terminology (CDT) codes are fundamental features of the dental coding profession. They provide consistency in documentation of services performed. Our Dental Coding course expands upon CDT codes by discussing the various categories of service, components of code entries, and how to classify materials used in procedures. We also describe ICD-10-CM codes that are applicable to dentistry and how to review claim rejections and patient benefits.

 

** Course Subject to Change.

After completing this course, you should be able to:

  • Type quickly and correctly
  • Identify the transcription format for civil litigation
  • Identify the transcription format for probates
  • Identify the transcription format for family law
  • Identify the transcription format for legal instruments

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

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

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.**

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.**

Ed4Online is committed to being both environmentally conscious and making it easier for you to study! We’re making your education mobile! All of our textbooks are now provided as eTextbooks*. You can access them on your laptop, tablet, or mobile device and can study anytime, anywhere.

The move away from physical books to eTextbooks means you get the latest, most up-to-date version available. This also makes your training more accessible, so you can study anywhere you have your phone or tablet. The best part is that all materials are included in your training cost so there are NO extra fees for books!**

*A few courses still have physical materials.
 

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).

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.

** 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