May 17, 2022  
2020-2021 Catalog 
    
2020-2021 Catalog [ARCHIVED CATALOG]

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MEDAS 153 - Medical Insurance Coding and Billing


5 credits

Prerequisites
Completion of MEDAS 151  with a grade of “B-” or better.

This course introduces medical insurance, billing, and coding. Overview of insurance plans, insurance claims, and health insurance terminology will be covered.

Theory Hours
3 theory hours.

Guided Practice Hours
4 guided practice hours.

Vocational Program Course
Vocational program course.

AA General Elective
May be used as a general elective in the AA degree.

Course Outcomes
  • Inform a patient of financial obligations for services rendered
  • Demonstrate professionalism when discussing patient’s billing record
  • Display sensitivity when requesting payment for services rendered
  • Interpret information on an insurance card
  • Verify eligibility for services including documentation
  • Obtain precertification or preauthorization including documentation
  • Complete an insurance claim form
  • Interact professionally with third party representatives
  • Display tactful behavior when communicating with medical providers regarding third party requirements
  • Show sensitivity when communicating with patients regarding third party requirements
  • Describe how to use the most current procedural coding system
  • Describe how to use the most current diagnostic coding classification system
  • Describe how to use the most current HCPCS level II coding system
  • Discuss the effects of:
    • upcoding
    • downcoding
  • Define medical necessity as it applies to procedural and diagnostic coding


Note
Acceptance into the Medical Assistant program required.



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