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. 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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