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Certification Training - Medical Coders, Billers Auditors

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Certification Training - Medical Coders, Billers Auditors

RCM Certifications

Need for CHRP –

  • To understand the basic terminologies in Medical Billing, steps involved in a claim cycle, all that is required to submit a claim.
  • It helps in understanding the basic difference between the process handled in Abu Dhabi and Dubai in a claim cycle
  • It educates on the various methods of Insurance Payment Methods both Medical & Dental with Respect to Abu Dhabi and Dubai.
  • Explains in detail the various billing adjudication rules of each Section of CPT as per the regulators (DOH/ DHA).
  • To introduce the learner to the world of codes which is used to interpret various diseases and procedures.
  • To educate about the navigation of CPT 4, ICD 10 CM, HCPCS codes and how to decide on Principal and Secondary diagnosis.
  • In detail the different methods of Submissions in Abu Dhabi (Shafafiya) and Dubai (eClaim).
  • Based on Insurance denials, how to analyze and decide on Resubmission. To identify when a claim should be moved to Reconciliation.
  • The violations standards of DHA & DOH and application of compliance rules to different Specialties

Eligibility – Any Bachelor’s / Master’s degree approved by the respective country
Contents –
Introduction
Module 1 – Introduction of RCM
Module 2 – Coding Concepts
Module 3 – Insurance Protocols
Module 4 – Billing Regulations & Compliance
Module 5 – RCM Operations

Need for CHRS –

  • To revise and to have an overall understanding of the RCM Audit Process.
  • To redefine career as an Auditor in RCM Healthcare.

Eligibility - Any Master’s degree approved by the respective country or must have completed CHRP or have minimum 2 years experience in RCM healthcare in UAE or any country. With qualifying an aptitude test.

Contents –
1.Modules 1 -5 of CHRP
2.Audit Methodologies / Medical Records / Compliance/ Risk Assessment
3.Jawda indicators & Audit Tools

Need for CHRS –

  • To shift from one vertical to another being a Manager.
  • To get oriented with various functions or verticals of RCM if from another vertical.
  • To launch a career as an Executive – either a Manager or any equivalent state.

Eligibility – Any Master’s degree / CHRP course + 3 years of RCM experience or one who Completed CHRS Course + 2 years of experience or minimum 5 years of RCM experience.

Contents -
  • Modules 1- 7 of CHRS
  • Stabilization & Sustaining Revenue in the Organization – Methods/ Obstacles with Case studies.
  • Leadership in RCM /Attributes (Soft Skills) of an efficient Manager


ICD 10 AM

Need for ICD 10 AM –

  • Job Opportunity for a fresher in the respective Nation or a migrant looking for a job abroad in ICD 10AM practicing countries.
  • To gain knowledge on ICD 10 AM for proper claim submission by a current coder
  • To add a feather to the cap as certification for a coder of any nation.

Eligibility –
  • Fresher looking for a job
  • Coder who wishes to migrate
  • Need for a Coding Certification


Content –

CC1 - Introductory course consists of Clinical Coding for the following subjects:
  • Endoscopy
  • Oncology
  • Accidents and incidents
  • Endocrine
  • Ophthalmology and ENT
  • Digestive (including dental)
  • Urinary and male reproductive
  • Gynaecology
  • Bones muscles skin and nerves
  • Cardiovascular

  • Psychiatry
  • Infectious
  • Respiratory
  • Oncology haematology and immunology
  • Accidents and incidents
  • Endocrine
  • Digestive
  • Genitourinary
  • Gynaecology
  • Bones muscles skin and nerves
  • Cardiovascular
  • Obstetrics
  • Paediatrics

To get educated on ICD 10AM analyzing the differences between CM and AM. To convert CM certification to AM one.
Eligibility-
CPC / CCS/ CPMA or any equivalent Coding Certification

Content-
Conversion from CM to AM +Intermediate Course

Psychiatry
Infectious
Respiratory
Oncology haematology and immunology
Accidents and incidents
Endocrine
Digestive
Genitourinary
Gynaecology
Bones muscles skin and nerves
Cardiovascular
Obstetrics
Paediatrics



ICD 11

Need –
To educate nations adopting a new Healthcare System
To participate in the mission of WHO in introducing a new Coding System

Eligibility-
Job Seekers, Experienced Coders who would want to update their Coding Knowledge
Coders of the Country where ICD 11 is decided to be implemented.

Contents- ICD 11/ ICHI/ ICF
ICHI-

  • 1 - Interventions on Body Systems and Functions
  • 2 - Interventions on Activities and Participation Domains
  • 3 - Interventions on the Environment
  • 4 - Interventions on Health-related Behavior