Sep 18, 2020  
2019-2020 Course Catalog 
    
2019-2020 Course Catalog [ARCHIVED CATALOG]

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OFFT 2030 - Medical Office: Insurance and Billing

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

Prerequisite(s): OFFT 2006  and OFFT 2010 
Corequisite(s): None
Recommendation: Ability to add, subtract, multiply, divide, and calculate simple percentages with the use of a calculator.

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.

Competency 1 (1-6)
None
Competency 2 (7-10)
None


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