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Who We Are
Our Mission
Our Philosophy
NAIAC is committed to providing the highest quality education and training opportunities; not only to individuals, but to healthcare professionals and facilities to ensure compliance, accuracy, and profitability within this everchanging industry. We strive to make learning fascinating by helping students and clients accomplish challenges and exceed their goals in a caring and supportive environment. Reach out to learn more.
At NAIAC, we respect our students and clients. We understand that each of them has individual wants and needs. We believe that learning can only be fostered from a feeling of mutual respect, guidance, and direction, and we do our very best to maintain those values in everything we do. Our unique approach supplies our students with the proper support system that will help lead them down the path to success.
About the Courses
You’ll learn everything you need to know to pass your certification exam to become certified as a medical biller or medical coder with New Age Institute and Consulting.
Upon completing the online medical billing or coding course with us, a certification exam must be taken to become an AAPC’s Certified Professional Biller (CPB) or Certified Professional Coder (CPC), which is included in your course.
What is
Medical Coding?
Medical coding is the transformation of healthcare diagnosis, procedures, medical services, and equipment into universal medical alphanumeric codes. The diagnosis and procedure codes are taken from medical record documentation, such as transcription of physician's notes, laboratory, and radiologic results, etc. Medical coding professionals help ensure the codes are applied correctly during the medical billing process, which includes abstracting the information from documentation, assigning the appropriate codes, and creating a claim to be paid by insurance carriers.
Medical coding happens every time you see a healthcare provider. The healthcare provider reviews your complaint and medical history, makes an expert assessment of what’s wrong and how to treat you, and documents your visit. That documentation is not only the patient’s ongoing record, it’s also how the healthcare provider gets paid.
Medical codes translate that documentation into standardized codes that tell payers the following:
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Patient's diagnosis
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Medical necessity for treatments, services, or supplies the patient received
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Treatments, services, and supplies provided to the patient
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Any unusual circumstances or medical condition that affected those treatments and services
Medical Coding requires the ability to understand anatomy, physiology, and details of the services, and the rules and regulations of the payers to succeed.
What is
Medical Billing?
Medical billing is the process of generating healthcare claims to submit to insurance companies for the purpose of obtaining payment for medical services rendered by providers and provider organizations. After translating a healthcare service into a billing claim, the medical biller follows the claim to ensure the organization receives reimbursement for the work the provider performed. A knowledgeable medical biller can optimize revenue performance for the physician practice or healthcare organization.
Even though they may seem similar, medical coding and billing are distinct but related processes. Both are integral to the business of healthcare, as both are involved in reporting diagnoses, procedures, and supplies to commercial and federal payers, such as Aetna and Medicare.
Medical coders and billers both work with clinical staff and must know medical terminology, anatomy, and pathophysiology to understand physician notes and operative reports. Medical coders sometimes participate in the billing process and may code for billing companies. In small physician practices, it’s not uncommon for the same person to serve as medical coder and medical biller. And while billing and coding are not the same, these two functions are equally important segments of the healthcare revenue cycle.
Exam
Information
The CPC exam is a test of medical coding proficiency consisting of 100 multiple-choice questions that assess 17 areas of knowledge. Most questions present a coding scenario to test proper application of CPT® procedure codes, HCPCS Level II supply codes, and ICD-10-CM diagnosis codes—all of which medical providers use to submit claims to payers. During the test, you will reference approved coding books — the AMA's CPT® Professional Edition, as well as your choice of ICD-10-CM and HCPCS Level II code manuals. You must complete the CPC exam within 4 hours and answer 70% of the questions correctly to pass.
The CPB Exam is a rigorous, 135 multiple choice questions exam. Students are given 4 hours to finish the exam with approved code books and answer 70% of the questions correctly to pass.​ The CPB Exam thoroughly covers:
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Types of Insurance
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Billing Regulations
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HIPAA & Compliance
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Reimbursement & Collections
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Billing
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Coding
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Case Analysis
With many students failing the exams on their first attempt, it’s crucial to be well prepared prior to taking the exam. NAIAC is here to help you with your medical billing and coding training to ensure you’re properly prepared to take the CPB or CPC Exam. With our comprehensive classes, you’ll become a certified medical biller or coder with a high demand career.
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Don’t miss out on your chance to benefit from a rapidly growing career path as a certified professional biller or coder by taking our CPB or CPC classes.
Contact New Age Institute and Consulting today to get started!