Dec 08, 2021  
2017-2018 Course Catalog 
    
2017-2018 Course Catalog [ARCHIVED CATALOG]

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OFFT 2030 - Medical Office: Insurance and Billing

Credits: 3
Hours/Week: Lecture NoneLab None
Course Description: This course introduces the student to insurance and billing procedures for the medical office. Topics include insurance requirements related to Medicare and Medicaid, managed care, and other insurance policies, hospital and clinic billing procedures, auditing and compliance, and collection procedures.
MnTC Goals
None

Prerequisite(s): OFFT 2006  and OFFT 2010 ; Arithmetic assessment score of 64 or higher or elementary algebra assessment score of 76 or higher OR assessment score/ACT score placement into MATH 0070  or above OR completion MATH 0030  or MATH 0060  with a grade of C or higher, or instructor consent. We strongly encourage students who score below 64 to meet with an advisor or counselor to discuss their review and course options PRIOR to Math assessment retesting or registering for a MATH course.
Corequisite(s): None
Recommendation: None

Major Content
  1. Basic human body systems
  2. Patient records and reference books
  3. Insurance claims
  4. Medical coding and claims
  5. Billing and payment process

Learning Outcomes
At the end of this course students will be able to:

  1. code medical services for payment.
  2. complete a variety of medical insurance forms.
  3. define insurance and coding terminology
  4. demonstrate use of computerized coding program
  5. describe the insurance claim process.
  6. identify common roles and responsibilities in the medical insurance industry.
  7. identify human body systems
  8. identify insurance submission procedures.
  9. identify the various categories of insurance
  10. recognize procedural codes.
  11. apply policies and procedures for the use of clinical data required in reimbursement and prospective payment systems (PPS) in healthcare delivery.
  12. recognize procedural codes.
  13. support accurate billing through coding, chargemaster, claims management, and bill reconciliation processes.
  14. use established guidelines to comply with reimbursement and reporting requirements such as the National Correct Coding Initiative.


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