OFFT 2030 - Medical Office: Insurance and Billing

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

1. bill medical services for payment.
2. complete a variety of medical insurance forms.
3. define insurance and coding terminology.
4. demonstrate the use of a computerized coding program.
5. identify the hospital billing cycle and the insurance claim process.
6. identify a new versus established patient, patient demographic information, insurance verification, and authorizations.
7. identify insurance submission procedures.
8. identify the various categories of insurance.
9. identify diagnostic and procedural codes.
10. interpret policies and procedures for the use of clinical data required in reimbursement and prospective payment systems (PPS) in healthcare delivery.
11. apply accurate billing through documentation, coding, chargemaster, claims management, and bill reconciliation processes.
12. apply established guidelines to comply with reimbursement and reporting requirements such as the National Correct Coding Initiative.

Courses and Registration