Medical Billing and Coding I

Community College of Vermont - Newport, VT

Currently accepting resumes from applicants interested in teaching:

Fall 2016

Tuesday Evenings

AHS-2121   Medical Billing & Coding I   3 Credits
 
This course examines the medical insurance industry, history of medical insurance, and emergence of managed care, HMOs, and PPOs. Students will apply medical insurance vocabulary as it relates to common health care programs and use Physician's Current Procedural Terminology (CPT), ICD-10-CM and HCPCS, to correctly bill and code visits and procedures for reimbursement. Prerequisite: Medical Terminology.
 

    1. Describe the flow cycle of a Health Insurance Claim Form (CMS-1450 & 1500).
    2. Compare and contrast resources for billing and coding such as Web MD and Encoder Pro.
    3. Understand and demonstrate proper use of CPT, HCPCS, and ICD-10-CM books and Basic Coding.
    4. Recognize, investigate and correct common errors in billing and coding.
    5. Employ appropriate medical terminology to determine if a procedure is coded correctly.
    6. Understand basic rejections and their impact on reimbursement.
    7. Identify the procedure for two or more party billing, such as Medicare and private insurance.
    8. Apply medical insurance vocabulary as it relates to programs such as HMOs, PPOs, Point of Service, TRICARE, Medicare and Medicaid Health Care programs

Master's degree required

---

Posted: 30+ days ago

Apply Now