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Master
Course Outline
MEDA 149
Medical Insurance Procedures For Medical Assisting
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| Credits: 5 |
Clock Hours per Quarter: 50
AA Discipline:
Lecture Hours:50
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Description
Provides a basic introduction to accurate billing procedures in the medical office and medical coding procedures used to obtain reimbursement for medical procedures or services. Billing topics include different types of health insurance, and preparation of insurance claim form, applying third party payor guidelines and collection procedures. Coding topics will include the proper application of CPT, ICD-9-CM and HCPCS coding along with an introduction to ICD-10-CM. Admission to the Medical Assisting Program students. |
Intended Learning Outcomes
Accurately apply ICD-9-CM codes to present a clear picture of the patient's medical diagnosis, symptoms, complaint, or condition.
Accurately apply CPT codes to obtain reimbursement for the corresponding procedures and services rendered to treat the identified condition.
Follow third party payor guidelines.
Complete a paper and/or electronic claim form.
Demonstrate knowledge of billing and collection practices in the outpatient setting.
Review and learn the differences associated with ICD-10-CM coding.
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Course Topics
Billing and Reimbursement Cycle
ICD-9-CM Coding; ICD-10-CM coding differences
Coding Linkage and Compliance
Provider Charges and Payment Methods
Health Care Claim Preparation and Transmission
Claim Adjudication, Follow-Up, and Collections
Private Payers: Blue Cross and Blue Shield Plans, Commercial Carriers, and Managed Care Organizations
Medicare
Medicaid
TRICARE and CHAMPVA
Worker's Compensation and Disability
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Syllabi
Listing
See ALL Quarters
| Course |
Year
Quarter
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Item
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Instructor |
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| MEDA 149 |
Spring 2013 |
3978 |
Sandra Erlewine |
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| MEDA 149 |
Spring 2013 |
6409 |
Sandra Erlewine |
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| MEDA 149 |
Spring 2012 |
3977 |
Sandra Erlewine |
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Two Year Projected Schedule
| Year
One* |
Year
Two** |
Fall |
Winter |
Spring |
Summer |
Mini |
Fall |
Winter |
Spring |
Summer |
Mini |
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X
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X
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*If fall quarter starts on an odd year (2003, 2005, etc.), it's Year One.
**If fall quarter starts on an even year (2002, 2004, etc.), it's Year Two.
printable version
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