Syllabus Information |
Spring 2022
May 02,2024 |
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 | Use this page to maintain syllabus information, learning objectives, required materials, and technical requirements for the course. |
| HIM 260 - Medical Record Auditing |
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Associated Term:
Spring 2022
Learning Objectives: Upon successful completion of this course, students will be able to: 1-Identify a new versus established patient, obtain patient demographic information, insuranceverification, and authorizations and collect time-of- service payments 2-Understand and explain the importance of accurate documentation when working with electronic health records 3-Describe the different types of medical insurance, their characteristics and eligibility requirements 4-Determine Coordination of Benefits for patients with more than one insurance plan 5-Code diagnoses using the basic steps and principles of the ICD-10-CM coding system 6-Code procedures/services using the basic steps and principles of the CPT/HCPCS coding system 7-Complete HIPAA-compliant health care claims for Medicare, Medicaid, and TRICARE/CHAMPVA; Workers' Compensation; and private payers, including BlueCross and BlueShield Plans,commercial carriers, and managed care organizations 8-Understand and complete the hospital billing cycle following the guidelines previously learned 9-Discuss HIPAA/HITECH, legal, and ethical considerations with emphasis on confidentiality, protected health information and fraud related to insurance 10-Discuss the processing of payers' remittance advices (RAs) and patient billing/collections Required Materials: Technical Requirements: |
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