Description
This course is an introduction to medical billing and the coding process. Documentation and medical necessity guidelines, claims submission, and reimbursement protocols, both electronically and via mail, and working with different payers (HMOs, Medicare) will be presented.
Course Learning Outcomes
- Outline the typical responsibilities of a medical biller/coder, describe the personal and professional ethics required for success in this profession
- Describe the purpose and impact of the Healthcare Portability and Accountability Act (HPAA) and explain how professionals can learn about changes to the laws and regulations that affect them
- Compare and contrast the major types of government and commercial insurance health plans, including Medicare, Medicaid, Blue Cross/Blue Shield (BCBS), Preferred Provider Arrangement (PPA), and Point-of-Service (POS) plans
Semester
Spring
Notes
Repeat of BU 126.