Medical Billing and Coding - Hybrid
Medical Billing and Coding Program Overview
The Medical Billing and Coding Program at the Medical Training Institute of New York prepares students for careers in healthcare settings such as medical offices, hospitals, and clinics. The curriculum covers billing systems, coding, reimbursement processes, health record maintenance, and healthcare computer applications, culminating in a supervised clinical externship.
What Medical Billers and Coders DoMedical Billers and Coders process patient data, translate diagnoses into codes using CPT, ICD-10-CM, and HCPCS Level II manuals, and handle insurance claims to ensure accurate and timely payments for healthcare providers.
Billing vs. CodingMedical coders focus on accurately coding medical services, while billers create claims from codes for insurance submission. Many professionals perform both roles.
Career RequirementsEntry-level roles typically require certification, an associate degree, and knowledge of HIPAA regulations.
Program Summary
Course overview
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Program Schedule Guidelines
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MTI Mission & Goals
The mission of MTI of New York is to offer education in Allied Health for on-demand occupations to members of our community in pursuit of advancing their career path in this employment sector. As such, MTI strives to deliver to its community of learners, opportunities for career advancement, change and expanding industry standards, the optimum delivery of services, which meet and exceed industry expectations, to place graduates at the top of the candidacy pool for positions within their area of choice.
Program Curriculum
Course Code | Course Title | Hours |
---|---|---|
MBC101 | Basics of Writing | 2 |
MBC102 | Basic Math | 2 |
MBC103 | Comprehension Building/Study Skills | 2 |
MBC103 | Introduction to Computers | 2 |
MBC104 | Introduction to Computers Lab | 4 |
MBC105 | Medical Terminology | 10 |
MBC106 | Role of an Insurance Billing Specialist | 5 |
MBC107 | Privacy, Security, and HIPAA | 2 |
MBC108 | Compliance, Fraud, and Abuse | 3 |
MBC109 | Basics of Health Insurance | 4 |
MBC110 | The Blue Plans, Private Insurance, and Managed Care Plans | 4 |
MBC111 | Medicare | 4 |
MBC111 | Medicare Lab | 2 |
MBC112 | Medicaid and Other State Programs | 2 |
MBC112 | Medicaid and Other State Programs Lab | 2 |
MBC113 | TRICARE and Veterans Health Care | 4 |
MBC113 | TRICARE and Veterans Health Care Lab | 2 |
MBC114 | Workers Compensation | 4 |
MBC114 | Workers Compensation Lab | 2 |
MBC115 | Disability Income Insurance and Disability Benefit Programs | 4 |
MBC131 | Medical Insurance Internship | 150 |
MBC116 | Medical Documentation and the Electronic Health Record | 4 |
MBC117 | Diagnostic Coding | 5 |
MBC117 | Diagnostic Coding Lab | 5 |
MBC118 | Procedural Coding | 5 |
MBC118 | Procedural Coding Lab | 5 |
MBC119 | The Paper Claim CMS-1500 | 4 |
MBC119 | The Paper Claim CMS-1500 Lab | 2 |
MBC120 | The Electronic Claim | 4 |
MBC121 | Receiving Payments and Insurance Problem Solving | 4 |
MBC121 | Receiving Payments and Insurance Problem Solving Lab | 2 |
MBC122 | Collection Strategies | 4 |
MBC132 | Medical Billing Internship | 150 |
MBC123 | Ambulatory Surgery Centers | 4 |
MBC123 | Ambulatory Surgery Centers Lab | 2 |
MBC124 | Hospital Outpatient and Inpatient Billing | 5 |
MBC124 | Hospital Outpatient and Inpatient Billing Lab | 5 |
MBC125 | Simulated Medical Billing and Coding Internship | 10 |
MBC126 | Medical Coding Internship | 150 |
MBC127 | Seeking a Job and Attaining Professional Advancement | 1 |
MBC128 | Certification Exam Review and Prep | 10 |
TOTAL PROGRAM HOURS | 600 |
Grading Scale and Methods of Evaluation
LETTER CODE | INCLUDED IN HOURS EARNED | INCLUDED IN HOURS ATTEMPTED | INCLUDED IN CGPA AND SAP | QUALITY POINTS |
---|---|---|---|---|
A = 90 - 100% | Yes | Yes | Yes | 4.00 |
B = 80 - 89% | Yes | Yes | Yes | 3.00 |
C = 70 - 79% | Yes | Yes | Yes | 2.00 |
F = 0 - 69% | No | Yes | Yes | 1.00 |
AU (audit) | No | No | No | n/a |
I (incomplete) | No | Yes | No | n/a |
P (pass) | Yes | Yes | No | n/a |
PR (proficiency) | Yes | Yes | No | n/a |
TC (transfer credit) | Yes | Yes | No | n/a |
W (withdraw) | No | Yes | No | n/a |
WP (LOA) | No | No | No | n/a |
NP (not pass) | No | Yes | Yes | n/a |
Admission
GENERAL ADMISSIONS REQUIREMENTS
Prospective students are encouraged to apply for admission as early as possible to secure a place in their desired program and starting date. All applicants are required to complete a personal interview with an admissions representative, which is conducted in person. Guardians or significant others are encouraged to participate in the interview process. This interview helps the institution assess the applicant’s suitability for enrollment.
To complete the enrollment process, applicants must submit the following:
- Application for Admission Form
- Enrollment Agreement
- If under 18 years of age, the Enrollment Agreement must also be signed by a parent or guardian.
- Application Fee Payment
- This fee is non-refundable unless the applicant is denied admission or cancels the application within three days of the institution’s receipt of the application and fee.
- Student and Programmatic Disclosure Forms
- Entrance Exam (if applicable)
- Refer to “Selective Admissions Criteria” for details.
- Request for Official Transcripts
- Required if seeking transfer of previously earned college credit.
- Interview Acknowledgment Form/Student Information Record
The institution reserves the right to deny or rescind an applicant’s eligibility to begin classes if all general and selective admissions requirements are not successfully completed within the required timeframe.
Program-Specific Admission
Admission to one program does not guarantee eligibility for other programs. Applicants wishing to enroll in a different program in the future must independently meet all the requirements for that program at the time of application and undergo the selection process for that program.
Proof of Graduation
Documentation of high school graduation or its equivalent must be provided before the student’s first scheduled class. The student’s responsible for providing valid proof, and additional documentation may be required to verify authenticity. Failure to provide this documentation will result in enrollment cancellation, forfeiture of academic credits earned prior to cancellation
Prospective students must comply with the following admission requirements to enroll:
- Present a Valid picture ID
- Present one of the following:
- High School Diploma
- GED
- an associate or bachelor’s degree official transcript as proof of higher education completion.
- Students enrolling in a program including a clinical component are required to pass the Level 2 Criminal Background Check completed through an MTI of New York third-party.
- To qualify for enrollment, a one-on-one appointment with one of the school admissions’ representatives is needed. During the one-on-one appointment, the admission’s representative will provide advisement services to aid the student in planning and completing the program for enrollment.
- Diplomas and transcripts for education completed in a foreign country must be accompanied by the corresponding official translation and evaluation. For a listing of accepted translators and evaluators visit the National Association of Credential Evaluation Services (NACES) at www.naces.org Our school only accepts translations and evaluations received directly from NACES members, sent directly to our school, and addressed to MTI of New York, attention Admissions Department, 211 East 43rd Street, 2nd Floor, New York, NY 10117.
Selective Admissions Criteria
Some programs require additional testing or institution credit requirements. When the number of applicants exceeds available seats, a rubric is used to objectively assess and rank applicants. Factors considered include:
- Postsecondary coursework and grades (Math and Science focus)
- Entrance exam scores
- Prior graduation from an Allied Health program at another CEC institution
Applicants are ranked, and notifications of acceptance or alternate status will be issued. Alternates will be notified no later than the drop/add period of the class start date. Entrance exams may be waived for applicants holding an associate's degree or higher from an accredited institution.
Entrance Exam Re-Test Policy
Applicants who do not achieve the required score on an entrance exam may retest as follows:
- Second attempt: After a 24-hour waiting period.
- Third attempt: after a 48-hour waiting period.
- Fourth attempt: after a one-year waiting period.
Additional Program-Specific Requirements
- Diagnostic Medical Sonography (DMS) Program: Applicants are assessed using a standardized rubric that includes grades in Math and Science, Accuplacer Math scores, Wonderlic scores, and Program Director recommendations. Ranking determines final cohort acceptance.
Program Entrance Requirements
Students enrolling in the following programs must pass the Wonderlic Scholastic Level Exam (SLE) Entrance Test:
- Students enrolling in a hybrid program.
- Students enroll in an onsite (on campus) program for 300 hours or more.
The Wonderlic Scholastic Level Exam (SLE) minimum passing score is 13. The cost is $ 35 and paid by the student. Students can retake after a week, for a maximum of three (3) times.
PROGRAM | WONDERLIC SCORE | ACCUPLACER SCORE (OVERALL/MATH) | ADDITIONAL REQUIREMENTS |
---|---|---|---|
Cardiovascular Sonography | 18 | 125/60 | Have a criminal background check |
Diagnostic Medical Sonography | 18 | 130/65 | Have a criminal background check |
Medical Assistant | 13 | N/A | None |
Medical Billing | 13 | N/A | None |
Pharmacy Technology | 13 | N/A | Have a criminal background check |
ASSOCIATE OR ADVANCED DEGREE ADMISSIONS REQUIREMENT
In addition to the general admission requirements, students wishing to enroll in the following programs are required to present an official transcript demonstrating the student has graduated from an Associate, Bachelor, or advanced Degree program from an accredited higher education institution recognized by the United States Federal Department of Education, or its equivalent as approved by an official evaluation and translation by a member of the National Association of Credential Evaluation Services (NACES) at www.naces.org:
- Surgical Technology Programs
- Radiography Technology Programs
- Radiation Therapy Programs
Official transcripts are to be sent directly from the issuing institution to MTI of New York, attention Admissions Department, 211 East 43rd Street, 2nd Floor, New York, NY 10117
You can still apply
Graduation Requirements
To qualify for graduation, students must maintain a minimum 2.0 (C) Grade Point Average and be current with their tuition payments. Students must also satisfy the requirements of any externship or internship in which they have participated.
- A minimum, cumulative GPA of 2.0.
- Complete all documents, files, and examinations, as necessary.
- Comply with all Medical Training Institute of New York regulations.
- Fulfill all financial obligations to MTI of New York.
- Successfully complete an externship as required.
- Return swipe card and ID card
Tuition, Books & Technology Fees
Total Program Cost:
Program | Medical Billing and Coding - Hybrid |
Hours | 600 |
Application Fee: | $100 |
Tuition: | $2,500 |
Technology Fee: | $300 |
Clinical & Lab Fee: | $400 |
Book Fee: | $341 |
Uniform Fee: | $66 |
Total Cost: | $3,707 |
Tuition and Fees
Registration
A non-refundable Registration fee of $100 is due during registration to reserve a seat in the program.
Clinical/Lab
The Clinical/Lab fee is used to cover the cost of the Liability insurance policy, student lab equipment and supplies, and to provide students with Liability insurance during their clinical rotation internship.
Technology
The Technology Fee provides students with access to Online Learning Resources, the learning management system (“LMS”), and the student portal.
Books
Required books for the specific module of the program a student is entering can be requested from the school bookstore or online at portal.mtiofnewyork.com/stores prior to the start of each quarter.
Uniform
Students can request one (1) set of MTI logo scrubs from the school bookstore or online at portal.mtiofnewyork.com/stores prior to the start of the program. Additional uniforms may be purchased from the school bookstore or online at portal.mtiofnewyork.com/stores.
Tuition
The total cost for the Medical Coding Specialist - Hybrid program is $4,987 which includes $3,700 in tuition and $1,287 in additional fees. Payments are due before the start of a Quarter and are divided into refundable and non- refundable portions, as outlined below.
Refundable | Non-Refundable | ||||||
---|---|---|---|---|---|---|---|
Prior to Quarter 1 & Quarter 2 | Total | Tuition | Technology | Clinical & Lab | Registration | Books | Uniform |
$4,987 | $3,700 | $420 | $430 | $100 | $271 | $66 |
Confirmation of Fee Terms:
- Tuition refunds will be processed in accordance with the program’s refund calculation policy as governed by New York State.
- Technology and Clinical/Lab fees are refundable only if a refund request is made before the start of a quarter.
- Book and Uniform fees must be paid prior to Quarter 1 and are non-refundable.
Paying For Your Program
PAYMENTS
Method Of PaymentThe Student Accounts Office offers a veriety of payment options, including online payments, credit cards, checks, wire transfer, Western Union, Paypal, and cash; both Monthly/Bi-Weekly/Weekly Paymeny plans and as a lump sum. Students who desite greater flexibility
In all cases, Program Tuition and Fees must be paid in full (in US Dollars) before your course’s enrollment deadline based on the table in the Tuition section above.
- Payment Options
- Payment Plans may be available to students
The Payment Plan allows you to pay quarter Tuition and fees over four installments per quarter. A suggested initial down payment of $1,650 of the total tuition cost is required for all quarter programs, after which the remainder of the tuition is divided into five installments per quarter.
To enroll in the Payment Plan, please email StudentBilling@mtiofnewyork.com. Be sure that “Payment Plan” appears in your message’s subject line. Visit our website www.mtiofnewyork.com for a more detailed explanation.
Private Education LoansStudents may elect to apply for a loan and choose to pursue loans to cover the cost of their education or any part of it, over a Term or a Quarter. You can take out loans to cover the entire cost of the Program, or just a part of the cost, as a supplement to your Monthly/Bi-weekly/weekly income. For more information, visit our website
https://www.mtiofnewyork.com/medical-training-institute-student-financial-services/Students must provide a signed promissory note from the issuing body. This agreement will become effective when the signed promissory note is provided to the school
Refund Policy
A student who cancels within 7 days of signing the enrollment agreement receives all monies returned, with the exception of the non-refundable registration fee.
Thereafter, a student will be liable for
- The non-refundable registration fee plus
- The cost of any textbook or supplies accepted, plus
- Tuition liability as of the student’s last date of physical attendance.
Tuition liability is divided by the number of quarterly in the program. Total tuition liability is limited to the quarter during which the student withdrew or was terminated, and any previous quarter completed.
Termination
During the first quarter of the program:
If termination occurs Student Refund School may keep Student Refund Prior to or during the first week 0% 100% During the second week 25% 75% During the third week 50% 50% During the fourth week 75% 25% After the fourth week 100% 0% During the second and remaining quarters of the program:
If termination occurs Student Refund School may keep Student Refund Prior to or during the first week 25% 75% During the second week 50% 50% During the third week 75% 25% During the fourth week 100% 0% -
The student refund may be more than that stated above if the accrediting agency refund policy results in a greater refund.
Refunds are calculated based on the student’s last day of physical attendance and the total quarter’s tuition due, not the total tuition paid by the student up to that point. If a student withdraws during the second term/quarter, the student must use the “First Term/Quarter” schedule unless the school can demonstrate that no significant educational change has occurred in the program as of the student’s last date of attendance. Significant educational change is defined as non-functioning educational equipment which adversely affects a student’s educational program, a material change in the student’s schedule as agreed to at the time of the student’s enrollment, substitution of a teacher in a course after instruction has begun where such teacher does not possess the necessary language skills in the approved language of instruction in order to effectively communicate the subject matter to the students, or a significant increase in the student to teacher ratio. If no significant educational change has occurred at the beginning of the second term/quarter, the refund policy for subsequent terms/quarters applies. The student refund may be more than that stated above if the accrediting agency refund policy results in a greater refund.
Textbooks
1.Fortney’s Medical Insurance and Billing, 16th Edition | ISBN: 9780323810777 |
2.Buck's Simulated Medical Coding Internship | ISBN: 9780323792547 |
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Instructor
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Competency-Based Instruction in Medical Billing and Coding
Competency-based instruction focuses on mastering the skills required for professional coding practice. It emphasizes student performance and skill mastery, with a focus on real-world job applications. Students engage in problem-solving, apply their skills, and demonstrate knowledge through hands-on activities and performance-based tasks.
Competency-Based Lessons
Lessons are designed to reflect actual career expectations, with early performance activities and opportunities for students to problem- solve and develop solutions. Students are encouraged to evaluate their own performance and engage in active learning through small- group work, projects, and presentations.
Core Competencies for Medical Billing and Coding
- Service coding with CPT and HCPCS
- Diagnosis coding with ICD-10-CM
- Reimbursement processes
- Application of medical terminology, anatomy, physiology, and pathophysiology skills
These competencies prepare students to accurately code services and diagnoses, understand reimbursement, and apply medical knowledge in coding practice.
WHAT YOU'LL LEARN
- Role of an Insurance Billing Specialist
- Privacy, Security, and HIPAA
- Compliance, Fraud, and Abuse
- Basics of Health Insurance
- The Blue Plans, Private Insurance, and Managed Care Plans
- Medicare
- Medicaid and Other State Programs
- TRICARE and Veterans' Health Care
- Workers' Compensation
- Disability Income Insurance and Disability Benefit Programs
- Medical Documentation and the Electronic Health Record
- Diagnostic Coding
- Procedural Coding
- The Paper Claim CMS-1500
- The Electronic Claim
- Receiving Payments and Insurance Problem Solving
- Collection Strategies
- Ambulatory Surgery Center
- Hospital Outpatient and Inpatient Billing
- Medical Billing & Coding Externship
- Job Placement Assistant
- Seeking a Job and Attaining Professional Advancement
WHO WILL BENEFIT
Those Considering Coding and Auditing
Medical Billing and Coding is a great career choice for anyone who wants to be in a non-patient-facing position within the healthcare industry. It also offers the benefits of working from home and having a very flexible schedule
Medical Billing and Coding specialist can work in various settings including hospitals. outpatient clinics, urgent care facilities, nursing homes, treatment centers, physician offices, and insurance companies. There are also multiple outsourcing agencies that employ coders to work remotely for a variety of clients.
Aspiring Medical Professionals
Working as a Coder gives many of us our first taste of working in the medical field. You might gain inspiration to continue that career path and get a more in-depth understanding of the medical world. It's okay to share this desire with your interviewer. It shows your dedication to the field and a willingness to learn
Job Stability
According to the Bureau of Labor Statistics (BLS), medical billing and coding specialists earn an average annual salary of $40,350 and work in one of the fastest-growing professions The Bureau of Labor Statistics also estimates that at least 27,000 new jobs will be needed in this profession by 2026
This course is also part of our Advanced Medical Coding Specialist & Auditing —consisting of Medical Billing & Coding and Medical Coding Specialist—available for $3,950. Are you Interested in mastering Clinical Medical Assistant? LEARN MORE
Instructors:
1. Donna A. Castellano
2. Christine Manookian
3. Dian Johnson
Simulated Medical Billing and Coding Internship
Simulated Medical Coding Internship prepares students to code accurately and efficiently in a professional setting. More than 600 cases in 18 medical specialties offer a realistic simulation of the workload in a multi-specialty medical clinic. This simulated coding internship complements and provides application for the concepts learned in Medical Coding Program and Advanced Medical Coding and Auditing. Best of all, students can save a portfolio of the coding cases they’ve completed to prove proficiency to potential employers
Internship or Externship
An on-the-job internship or externship enhances the student's ability to obtain employment. If an on-the-job experience is not available to your students, consider a simulated internship by means of an online experience. This online experience exposes the student to the on-the-job workload in the online environment.
Coding Exam Review
With the ever-increasing complexity of medical coding, employers are giving preference to those coders who are well prepared and certified. MTINY prepares students for the physician and facility certification examinations and includes a review of terminology, anatomy/physiology, reimbursement, compliance, CPT, HCPCS, and ICD-10-CM coding. The material is presented in outline form with multiple Pre/Post Examinations and Final Examination options.
MTINY prepare students to pass one of the following professional certification that best aligns with your career goals
- Certified Professional Coder (CPC) exam offered by the American Academy of Professional Coders (AAPC)
- Certified Coding Associate (CCA) exam offered by the American Health Information Management Association (AHIMA)
- Certified Billing and Coding Specialist (CBCS) exam offered by the National Health career Association (NHA)
Credentials
Certification
What is the difference between Certification Exams (CPC, CCA, AND CBCS)?
Obtaining a CPC, CCA, or CBCS certification implies that an individual has met competencies in the field of medical billing and coding. Certification is invaluable to the student’s career goals. Students have an opportunity to make confident, informed decisions about the national certification they prefer.
The Certified Professional Coder (CPC) exam is offered by the American Academy of Professional Coders (AAPC). It is the gold standard entry-level coding certification for a physician, or professional fee, coders.
The Certified Coding Associate (CCA) is offered by the American Health Information Management Association (AHIMA). It is an entry-level medical coding certification across all settings–physician practices and inpatient hospitals.
The Certified Billing and Coding Specialist (CBCS) is offered by the National Healthcareer Association (NHA) and is currently an entry-level medical billing certification for physician practices. In the summer of 2021, the exam will transition to an entry-level billing and coding certification, with the inclusion of ICD-10-CM, CPT, and HCPCS Level II testing.
Winter 2025
January 21, 2025
Total hours: 650
Day, Evening, Weekend Options
Total weeks: 26-41
Hours/Weeks: 21-35
Tuition Cost: $3,700
Total Program Cost: $4,987
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