Medical Billing & Coding

240 Clock Hours / 11 Credit Hours

  • DOT 214.362-042 Medical Billing clerk
  • DOT 214.482-018 Medical Insurance
  • DOT 079.362-010 Medical Assistant (Front Office)
  • DOT 201.362-014 Medical Secretary
  • DOT 079.362-014 Medical Record Tech.

This 240-hour program will prepare students who aim to find an administrative job in the healthcare industry. The student with the skills needed for medical billing and collecting procedures, including medical coding. Emphasis on: Insurance basics, reimbursement, plans and payers. Claims processing patient information, charges and payment methods, compliance and regulations. Coding Linkage and Compliance, ICD-9-CM coding and reimbursement, terminology of (CPT), Health Claims Examining, forms and procedures. Medisoft software programs, and 10-key operations.

COURSE DESCRIPTIONS

Medical Billing & Coding
240 clock hours / 11 Credit Units

MBC 101 MEDICAL TERMINOLOGY & ANATOMY:24 Clock hours / 1.5 Unit

Students will be provided with an overview of anatomy and physiology. Subjects covered will include body planes and cavities, directional terms, abdominal regions and an introduction to medical terminology. Word roots, combining forms, suffixes and prefixes will be introduced and examined. Flash cards are utilized to allow the student to identify the different parts of medical terms

MIB 102 HEALTH INSURANCE & INSURANCE PROGRAMS:24 Clock hours / 1 Credit Unit

Student will be provided clarification of the different health insurance programs. Students will learn to determine who is eligible for Medicare and Medicaid.. Identify the patient, Workers Compensation, Disability and benefit programs will be discussed. Understanding the difference between compulsory and elective laws related. Private and company insurance plans will be covered including co-pays, authorization, and billing procedures, and. Procedures for completing sample forms

MIB103 MANAGED CARE & SPECIAL PLANS:12 Clock hours / .5 Credit Units

Class will cover the Health Maintenance Organization Act of 1973, and the American Health Security Act of 1993. CHAMPUS and CHAMPVA. Student will define a prepaid health plan, and identify types of prepaid health plans.

MBC 104 INTRO TO MEDICAL BILLING:36 Clock hours / 1.5 Credit Units

Student will utilize MediSoft software program and text to manage patient accounts. Students will practice entering Patient information, working with cases, charges, and transactions, payments and adjustments. Understanding of insurance providers, HCFA claims and forms.

MBC 105 HUMAN RELATIONS:12 Clock hours / .5 Credit Units

The basic study of relating and communication. Students will learn to deal with different attitudes, patient communication techniques, relating to co-workers and employers and problem solving.

MBC 106 DIAGNOSTIC CODING:48 Clock hours / 2.5 Credit Units

Student will learn coding procedures and terminology, methods of payment, documentation and the understand how to use CPT and RVS coding systems. Coding of Disease will be covered or diagnostic coding and physicians fee profile. ICD-9-CM will be use in the class.

MBC 107 MEDICAL LAW & ETHICS OF THE PROFESSIONAL:32 Clock hours / 1.5 Credit Units

Understanding the protocols of medical practice and systems (the business structure of medical practices). Covering delivery of medical care, fee for service, managed care, preventive care and public health. (OSHA) regulations, the Medical Assistant’s responsibilities and conduct, professional liability, Medical Law and Ethics and an overview of the medical environment, to include specialties and different types of medical practices, will be discussed. Skills required for success and a brief history of medicine will be addressed.

MCB 108 DELINGUENT & COLLECTIONS:24 Clock hours / 1 Credit Unit

Students will learn procedures and techniques required for tracing delinquent claims and insurance problem solving. Office and Insurance collection strategies, communicating fees, credit arrangements, file review and appeals process.

MCB 109 COMPUTER SKILLS:28 Clock hours / 1 Credit Unit

Skills can be utilized in specialized and general office settings. Review and assist with each students technical skills and knowledge necessary to demonstrate productivity and efficiency in Microsoft Word, Excel, and 10-Key.