Medix School has been dedicated to Health Care Training for over 35 years. Through this dedication and experience Medix Online is the clear choice for Advancement and Education in the Health Care Industry. 

Anatomy & Physiology

This certificate is designed to allow development in fields related to Medical Sciences

Dental Office Procedures

The basics of Abeldent, a popular software widely used in various dental offices.

Ontario Medical Billing

Apply the basic principles of Health Claim billing

Medical Terminology

Learn to have a working knowledge of medical vocabulary for laboratory findings and other health care settings

Principles of Nutrition

Concepts related to nutrients in foods, as well as its applications to phases of the human life cycle

Thought Patterns for a Successful Career

This program is designed for both academic & personal growth and success

Ontario Medical Billing (Medix.OMB)

Course Outline  |   Apply Now
Students will learn how to apple the basic principles of Health Claim billing as outlined in the MOH (Ontario) "Schedule of Benefits" to complete health claims and the reconciliation of accounts. The student will learn to input Health Number billing on a computerized system.

Details

Prerequisite: None

Hours / Duration: 38 hours/8 weeks maximum

Cost: $299 (Includes Text and Student Guide)

A great advantage of Medix Online is that you can complete our programs quickly and at your own pace.

Learning Objective

By the end of this course, students should understand the following:

  • How the Ministry of Health (MOH) operates
  • How health claims are processed from patient encounter to receipt of payment
  • The relevant materials and reference information available when preparing and reconciling claims
  • The basic information that is required to complete a patient claim to the MOH
  • The meaning of the MOH codes, prefixes, and suffixes
  • The difference between calls/visits, test/procedures and surgical procedures and how to locate each in the Schedule of Benefits
  • How to locate diagnosis codes on the diagnosis code list
  • How to prepare billing sheets for patient claims, which are typical of a Family Practice
  • How to complete billing sheets typical of a General Surgeon
  • How to prepare claims for procedures and services using evening and night rates
  • The methods of making the process of HCP billing and reconciliation as efficient as possible
  • How to design an efficient billing and reconciliation system for their particular office environment
  • The process of billing a third party

 

Course Schedule

Weeks 1

Unit 1: Introduction to the Ministry of Health Insurance Plan

Weeks 2-3

Unit 2: Preparing patient claims and understanding health cards

Unit 3: Understanding the MOH Schedule of Benefits and Diagnostic Codes

Weeks 4-5

Unit 4: Learning to bill for a family or general practice

Unit 5: Learning about family health networks and groups

Unit 6: Learning to bill for medical specialists

Unit 7: Learning to bill for a general surgeon

Week 6

Unit 8: Understanding account reconciliation

Unit 9: RMB and WSIB billing

Week 7

Unit 10: Efficient strategies for billing

Week 8

Final Assessment

 

Additional Notes

Assessment: Billing assignments, quizzes, discussion board participation

Learning Materials: Easy steps to efficient medical billing, student manual, Eberhard & Symonds (medcom Solutions, 2007); student guide and handouts

 

emailEmail this to a friend