AHMS 252 - Computerized Medical Billing

Credit(s): 2

This course provides hands-on training to students seeking employment in medical offices. It covers the fundamentals of ICD-10, SPT, and HCPCS coding and is appropriate for the beginner or intermediate level office staff as well. (Spring Semester)

Course Learning Outcomes: Upon completion of the course, students will be able to

Utilize ethical values when dealing with confidentiality or personal information contained in a health record.
Apply HIPAA guidelines to healthcare reimbursement and medical office functions.
Demonstrate a working knowledge of basic insurance concepts and terminology.
Apply basic coding guidelines to assign and sequence procedural and diagnostic codes.
Manage accounts receivables by inputting patient information, scheduling appointments, and processing billing, reports and insurance claims.
File and manage insurance claim forms in compliance with guidelines for Medicare/Medicaid, Tricare, Worker’s Compensation, and Blue Cross/Blue Shield.
Maintain claim management techniques to trace delinquent claims and problem solve denied or unpaid claims.
Complete health insurance forms completely and accurately using Medisoft accounting package.
Successfully complete case studies using software.