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Course Criteria
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3.00 Credits
3 credits quarters: W The study of health care reimbursement issues in the outpatient and inpatient setting. Federal, state, and private health insurance plans, including managed care plans, will be studied as well as the cycle of health insurance claims. Included are health insurance terminology standard in a hospital billing department and legal issues relating to reimbursement processing. The following topics will be studied and discussed: UB-92 billing forms, DRG (Diagnostic Related Groups), Correct Coding Initiative, billing and coding compliance issues, and collections. Prerequisite: Acceptance into the Medical Billing and Coding Program, AHBC 102, and AHBC 121 or permission of instructor
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2.00 Credits
2 credits quarters: W The study of ICD-9-CM coding principles, including coding practice using actual patient records, patient record abstracts, and computer data entry. Prerequisite: AHBC 101 and AH 119 or permission of instructor
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4.00 Credits
4 credits quarters: W The study and practice of coding principles according to the CPT and HCPCS coding systems. Also included is instruction in the assignment of appropriate modifiers to CPT and HCPCS codes that are dependent upon the health care environment, e.g., physician's office or hospital outpatient department. Prerequisite: AHBC 102 and AH 119 or permission of instructor
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3.00 Credits
Variable credits quarters: Experimental/exploratory studies in allied health billing and coding.
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5.00 Credits
5 credits quarters: W, S, SR During this course, medical billing and coding students will be placed in a medical office, long-term care facility, or hospital to practice the skills they have learned throughout the medical assisting course. Under the guidance of a preceptor, the student will perform billing and coding duties in a medical setting. Prerequisite: Successful completion of all required Medical Billing and Coding Program course work
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3.00 Credits
3 credits quarters: W Health care reimbursement issues in both the hospital outpatient and inpatient setting will be discussed. Federal, state, and private insurance plans, including managed care, will be studied. Students will understand the cycle of health insurance claims, health insurance terminology, and legal issues related to reimbursement processing. Prerequisite: AHBC 101, 102, 121, 122, 131, and 132 or permission of instructor
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3.00 Credits
3 credits quarters: W The study of CPT, ICD-9-CM (including Volume 3), and HCPS coding principles in physician's offices as well as outpatient and inpatient hospital settings. Students will be coding from source documents (operative reports and patient medical records). Implications of Diagnostic Related Groupings (DRG) and Ambulatory Patient Groups (APG) and their relationships to coding assignment and reimbursement will be studied. Students apply theoretical concepts to solving problems in coding situations. Prerequisite: AHBC 101, 102, 121, 122, 131, and 132 or permission of instructor
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0.00 Credits
0 credits quarters: This class is offered as a self-support, community service, noncredit course.
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3.00 Credits
Variable credits quarters: Experimental/exploratory studies in allied health.
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3.00 Credits
Variable credits quarters: F, W, S This variable credit course provides a theoretical foundation and hands-on practice of basic patient exam techniques and procedures commonly performed in the physician's office, clinic, or hospital. The role of each allied health technology specialty in relation to these procedures is emphasized. Prerequisite: Acceptance into an allied health technology program and permission of instructor
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