Certification Training - Medical Coders, Billers Auditors

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

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

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