How to Select the Right Medical Billing Program near Lewiston Maine
Once you have decided to enter the healthcare field by enrolling in a medical billing and coding school near Lewiston ME, it's important that you select the right program to ensure that you receive the proper education to ensure your success. As you no doubt know, healthcare is among the fastest growing fields in the USA, and increasingly more options are available both on campus and online to receive the training that you need. But just where does one begin? Many future students begin by looking for colleges that are within travelling distance of their homes and then comparing tuition. Or they might surf the internet looking for online classes and pick the least expensive one. But while location and cost are relevant factors when making your choice, they should not be the only ones when comparing medical billing and coding schools. Such qualifications as reputation and accreditation should be taken into consideration also. We will go over a list of topics that you should ask the medical billing and coding training programs you are assessing in order to learn what you need to know prior to making your selection. But first, let's take a look at what medical coders and billers do and the training and certification options offered.
Medical Coding Job Summary
Medical coders are on the front line of the billing systems for Lewiston ME medical practices and hospitals. They have the responsibility to examine the medical records of patients and convert all services provided into universal codes. These services can be for diagnosis, medical or dental procedures, or any equipment or medical supplies utilized. There are multiple codes that are used in this conversion process, including the following:
- CPT codes (Current Procedural Terminology).
- ICD codes (International Classification of Diseases).
- HCPCS codes (Healthcare Common Procedure Coding).
Medical coders use information from sources such as nursing and physician notes, patient charts, and lab and radiology reports. Medical Coders must not only know what services were provided in total for accuracy, but must have a functioning knowledge of all government and private payer rules that impact coding also. Improperly coded claims may result in services not being covered, services being paid at a reduced rate, or the provider being penalized for fraudulent or improper billing. Since improper coding can actually cost Lewiston ME doctors and hospitals multiple thousands of dollars in income annually, a good medical coder is a necessary asset for any healthcare organization. They can work in every type of healthcare facility, including family practices, hospitals, clinics and critical care centers. It is not uncommon for seasoned medical coders to operate at home as an offsite employee or an independent contractor.
Medical Billing Job Functions
As vital as the medical coder's role is, it would be for nothing without the collaboration of the medical biller whose labors bring in revenue. Medical billing clerks are extremely important to Lewiston ME medical organizations and are practically responsible for keeping them in business. Often the biller and coder can be the same man or woman within a medical organization, but they can also be two separate specialists. After the coder has carried out her or his task, the biller utilizes the codes provided to complete and submit claim forms to insurance carriers, Medicare or Medicaid. After they have been paid by the applicable organization, patients can then be invoiced for deductibles and additional out of pocket expenses. On a routine basis, a medical billing professional can also do any of the following:
- Confirm medical insurance coverages for patients and assist them with billing concerns or questions
- Follow up on patient claims submitted and appeal those that have been declined
- Work as a mediator between the healthcare provider, the insurance carriers and the patients for proper claim resolution
- Generate and manage Accounts Receivables reports
- Produce and take care of unpaid patient collections accounts
Medical billers not only are employed by private practices, but also Lewiston ME emergency care facilities, hospitals, medical groups or nursing homes. They may practice in every kind of medical facility that relies on the incomes generated by billing third party payers and patients.
Medical Billing and Coding Online Programs and Certification
It's important that you obtain your education from a reputable school, whether it's a technical school, vocational school or community college. Although it is not a requirement in most cases to attain a professional certification, the school you select should be accredited (more on the benefits of accreditation later). The majority of Maine schools simply require that you have either a high school diploma or a GED to be eligible. The fastest way to become either a medical coder or biller (or both) is to earn a certificate, which usually takes about 1 year to complete. An Associate Degree is also an option for a more extensive education, which for the majority of programs calls for 2 years of studies. Bachelor's Degrees for medical coding and billing are not abundantly offered. When your education has been completed, although not required in the majority of states, you might wish to acquire a professional certification. Certification is a great means for those new to the field to show prospective employers that they are not only qualified but committed to their occupation. A few of the organizations that offer certifications are:
- American Academy of Professional Coders (AAPC).
- Board of Medical Specialty Coding (BMSC).
- The Professional Association of Healthcare Coding Specialists (PAHCS).
- American Health Information Management Association (AHIMA).
Graduating from an accredited medical billing and coding program, in conjunction with earning a professional certification, are the best ways to accelerate your new profession and succeed in the rapid growing medical care field.
Medical Biller and Coder Online Schools
If you are interested in flexibility and the convenience of attending classes at home, then selecting an online medical billing and coding school may be an excellent alternative. They can be particularly appealing to those living in Lewiston ME who plan on going to school while still working or have other commitments that make attending classes on campus challenging. And as an additional benefit, online colleges are in many cases less expensive than the standard classroom options. Expenses for such things as tuition, study materials and commuting may be minimized or eliminated. But be cautious, as not all online schools are reputable. That's why it's imperative to establish that any online course you select is accredited to guarantee a quality education. We will cover the benefits of accreditation in the next section. Just be sure to establish that any online school you are looking at is accredited by one of the national accrediting agencies, such as the Council on Higher Education Accreditation. So if you are disciplined enough to commit yourself to this type of learning, then acquiring your certificate or degree online may be the ideal choice for you.
Things to Ask Medical Billing and Coding Programs
Once you have a better idea just what a medical coder and biller does, in addition to what education options are offered, you need to begin the process of researching colleges. But since there are numerous training options offered at community colleges and vocational, technical and trade schools within the Lewiston ME area, you should have a prepared list of questions in order to evaluate each one. And when you add all of the online programs that offer medical billing and coding classes, the task can become somewhat daunting. As we have already covered, cost and location are going to be important factors, particularly if you have a limited budget and will be driving to classes from your Lewiston home. And confirming that the school and program are accredited must be part of your vetting process also. So let's take a look at some of the additional questions that you should ask the schools you are looking at so that you can compare each one and make the ideal choice.
Is the Program Accredited? It's crucial that the program and college you choose are accredited by a highly regarded accrediting organization, for instance the Accrediting Commission of Career Schools. If it's an online school, it may also obtain accreditation from the Distance Education and Training Council, which focuses on distance or online learning. Not only will accreditation help guarantee that the education you receive will be of the highest quality, it might help secure future employment also. Many Lewiston ME medical facilities will only hire entry level prospects that have completed an accredited medical billing and coding training course. And financial aid and student loans are often only offered for schools that have obtained an accreditation.
What is the Program's Reputation? Prior to selecting a medical billing and coding program, find out what its reputation and ranking are among other programs. This is particularly imperative if you have no experience in the profession, since potential employers will basically be evaluating you based on the quality of your training. As we have discussed, making sure that the college is accredited is a first step. Checking with college rating organizations, for example U.S. News and World Report, can validate the quality of the school also. Another option is to get in touch with some Lewiston ME healthcare organizations that you might have an interest in working for and ask which programs they recommend. Keep in mind that even if the college itself does not have an excellent reputation, its medical coding and billing program may still be well regarded.
Is there a Job Placement Program? Finding employment in Lewiston ME after graduating in your new field may be challenging without the help of a job placement program. Find out if the colleges you are considering have job assistance programs and what their job placement rates are. A rapid and high placement rate is a good indication that the billing and coding college has a substantial network of medical care employers where they can place their graduates. It also indicates that the school's graduates are in high demand in the marketplace.
Where is the School's Location? If you are anticipating driving to class from your Lewiston ME residence, then the location of the school will be of significant importance. Of course if you select an medical billing and coding online program, then the location of the college will not be a factor. One thing to keep in mind is that if you go to classes at a community or junior college, many require a higher tuition for pupils that live outside of their districts. So you might want to first look at those schools that are within your local area.
What is the Complete Cost? Medical billing and coding training courses can fluctuate in cost based on the type of credential acquired and the amount of training provided. Just keep in mind, tuition is not the only expense for your education. Expenses also consist of such items as the cost of supplies, books and commuting. Financial assistance may be obtainable to help offset a portion of the cost, so make sure to get in touch with the school's financial assistance department to see what is available in Lewiston ME. Of course if you decide to attend an online school, some of these additional costs, particularly for commuting may be lessened or even eliminated.
Are Classes Offered that Fit your Schedule? Many students continue working while going to school and require a flexible class schedule. If you can only go to classes during the evenings or on weekends near Lewiston ME, make sure that they are offered at those times. If you can only enroll on a part time schedule, make certain that the program you select offers that alternative. Also, ask what the process is for making up classes missed because of illness, work or family responsibilities.
Learn How to Choose a Medical Billing Course
Choose the Right Lewiston ME Medical Billing and Coding Training
Picking the ideal medical coding and billing degree or certificate program is a very important first step to help ensure your success in this exciting specialty of healthcare. Medical billing and medical coding are 2 of the fastest growing careers in the health sector. Because of this, there are a lot of trade schools, junior colleges and other institutions that offer training and instruction in medical billing and coding. As we have reviewed, you can choose to attend classes either on campus or online. It's also imperative that the school you select has an accredited program with an outstanding reputation within the healthcare community. But however you choose to receive your training, by following the previous guidelines and asking the appropriate questions, you will be better qualified to assess your options and choose the ideal medical billing and coding school. And with the proper training, you can realize your career goal to become a medical billing and coding specialist in Lewiston Maine.