Syllabus Information |
Spring 2023
Dec 22,2024 |
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 | Use this page to maintain syllabus information, learning objectives, required materials, and technical requirements for the course. |
| HIM 160 - Healthcare Insurance and Billing |
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Associated Term:
Spring 2023
Learning Objectives: Upon successful completion of this course, the student will be able to: 1. Identify a new versus established patient, obtain patient demographic information, insurance verification, and authorizations and collect ti me-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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