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Sep 07, 2024
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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.
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