Medical Office Billing is a comprehensive workbook designed to help medical office administration or medical office assistant students develop the skills to process medical billing claims in Ontario.

Set in a fictional clinic (Brooklane Medical Centre) and a fictional hospital (Hope General), Medical Office Billing provides students with 60 hours of real-world health care projects and tasks. Each project presents a theoretical medical scenario that guides students through the appropriate medical billing steps. Students learn how to process claims for non-insured billing and create, submit, and reconcile insured claims with the Ministry. The text also covers the key billing codes that students will need to know in the workplace, as well as the Schedule of Benefits for Physician Services, and the Resource Manual for Physicians.

Instructions and screen captures of Accuro©EMR billing, the popular medical software, guide students through creating new claims for each project.

• A collection of 11 projects that address common insured and non-insured billing scenarios
• A detailed list of learning objectives for each project to keep students focused as they work through the material
• Discussions on relevant legislation, health insurance cards, billing codes, the Schedule of Benefits for Physician Services, and the Resource Manual for Physicians
• Includes the Ontario Ministry of Health and Long Term Care claims submission software instructions
• Includes Accuro©EMR instructions for creating patient records and medical billing
• Online supplemental material that includes sample completed forms, templates, related billing tasks, an organizational chart, and patient spreadsheets

Projects

• Project 1: Introduction to Medical Billing
• Project 2: Uninsured Medical Billing
• Project 3: Health Cards
• Project 4: Codes
• Project 5: Schedule of Benefits and Resource Manual for Physicians
• Project 6: Creating Claims
• Project 7: Creating Claims From Scenarios
• Project 8: Creating Claims From Days Sheets, Patient Records, and Physician Notes
• Project 9: Claims Submission
• Project 10: Ministry Feedback
• Project 11: Reconciliation and Resubmission

Appendixes

• Appendix A: Organization Chart
• Appendix B: Clinical Specialists
• Appendix C: Patients – Brooklane Medical Centre and Student Spreadsheets
• Appendix D: Templates
• Appendix E: Sample Documents
• Appendix F: Accuro^® EMR Instructions
• Appendix G: Accuro^® EMR Instructions for Medical Billing
• Appendix H: Ministry Claims Submission Software
• Appendix H: Electronic Documents
• Appendix J: Related Task Documents

Medical Office Billing includes online supplemental material to help students master the topics presented in the text. The material includes blank templates, forms, an organizational chart, and patient and student spreadsheets. Click the link below to download the material.

Supplemental Material

Click the link below to download the revisions to Medical Office Billing.

Revisions May 2015

Instructor Resources

• PowerPoint Presentations
• Sample Course Plan
• Theory and Practical Tests
• Workbooks and other relevant documents

For free instructor resources, please contact instructor support.

Click the link below to download the revisions to Medical Office Billing.

Revisions May 2015