Health Insurance and Billing

32 credit Certificate program

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Career Resources:
None available at this time.

Program Description:
The Health Insurance and Billing certificate program will prepare individuals to understand billing procedures, basic coding, insurance guidelines, medical terminology and regulatory changes affecting insurance billing and coding.

Program outcomes include:
• Receive medical claim forms.
• Abstract medical information such as diagnosis, prognosis, and treatment dates from patient records.
• Complete common insurance forms.
• Follow the basic claims process for medical insurance and third party reimbursements.
• Solve insurance billing problems.
• Manually file claims (using the CPT manual).
• Trace delinquent claims.
• Appeal denied claims.
• Describe the importance of the confidential nature of medical reports.
• Answer inquiries from doctors, patients, and insurance companies.

Program Requirements: Click on Course Title for Course Description - Opens in new window

Course Outlines: CLICK HERE

Required Courses:
Course IDCreditsNameDescription
ADSC14154Keyboarding IThis course is designed for the beginning Administrative Support student. The objective of the course is to teach proper typing techniques; to build speed and accuracy; and to utilize a professional word processing system for business applications, such as document storage and retrieval, editing, and document distribution. (Prerequisites: ADSC1710 or equivalent or instructor's consent) (3 hrs lec/2 hrs lab/0 hrs OJT)
ADSC14251Calculators/Ten-keyThis course covers development and competence using the ten-key numeric touch method. Students will develop speed and accuracy using the touch system. (Prerequisites: None) (0 hrs lec/2 hrs lab/0 hrs OJT)
ADSC16103Medical Office TerminologyThis course introduces word analysis by study of word roots, prefixes, suffixes, and abbreviations common to the medical office/profession. This class has a business focus with emphasis on the written aspect of medical office terminology following medical transcription rules developed by the American Association of Medical Transcriptionists. A heavy focus is placed on vocabulary building techniques to teach the meaning, spelling, correct usage and pronunciation of medical terms for accuracy in transcription, coding, and completion of insurance forms. (Prerequisites: College level reading & writing)(3 hrs lec/0 hrs lab/0 hrs OJT)
ADSC16113Medical Office Procedures IThis introductory course to medical office procedures covers medical office career opportunities, medical ethics and laws, meetings, telephone techniques, appointment scheduling, filing, patient records, mail, fee collection, and medical office pharmacology. (Prerequisites: College-level reading & writing)(3 hrs lec/0 hrs lab/0 hrs OJT)
ADSC16123Medical Office Procedures IIThis course is a continuation of MOPI. Medical topics covered include integration of medical office tasks: bookkeeping, payroll procedures, billing, health insurance, appointment scheduling, patient data input, and CPT and ICD diagnostic coding. (Prerequisites: ADSC1611) (2 hrs lec/2 hrs lab 0 hrs OJT)
ADSC16143Health Insurance and BillingThis course will provide an introduction to the various types of insurance plans, legal considerations involved in claim processing, basic steps in ICD-9-CM and CPT coding, HCPCS, and ADA coding, insurance terminology, and causes for claim rejections. (Prerequisites: ADSC1610 or concurrent enrollment) (2 hrs lec/2 hrs lab/0 hrs OJT)
ADSC16183CPT CodingThis course provides basic knowledge of CPT coding and the purpose it serves. Basic coding facts, structure of code numbers, abbreviations, symbols, terms, book content, and coding guidelines are covered. This course introduces various types of insurance plans, legal considerations involving coding, insurance terminology, causes for claim rejection, and completion of the CPT coding portion of medical reports and insurance forms. (Prerequisites: ADSC1621) (3 hrs lec/0 hrs lab/0 hrs OJT)
ADSC16213Medical Office Anatomy and Physiology IThis business course covers human body anatomy and physiology with emphasis on spelling accuracy, terminology, abbreviations, and diagnostic and laboratory tests. A heavy focus is placed on the proper pronunciation of medical terms, diagnostic and operative terms for accuracy in medical machine transcription, coding, and insurance form completion. (Prerequisites: ADSC1610 or concurrent enrollment) (3 hrs lec/0 hrs lab/0 hrs OJT)
ADSC16223Medical Office Anatomy and Physiology IIThis business course is a continuation of Medical Office Anatomy & Physiology I. Students continue learning the body systems by studying and analyzing body structure and function with emphasis on spelling accuracy, terminology, abbreviations, and diagnostic and laboratory tests. A heavy focus is placed on proper pronunciation of medical terms, diseases, diagnostic and operative terms for accuracy in medical machine transcription, coding, medical assisting, and insurance courses. Study of diseases, organs, and structures by various anatomical systems will be covered. (Prerequisites: Completion of or concurrent enrollment in ADSC1621) (3 hrs lec/0 hrs lab/0 hrs OJT)
ADSC16363International Classification of Disease-10th Revision Clinical ModificationThis course provides basic knowledge of ICD-10-CM coding and delineates the purpose it serves. Basic coding facts, structure of code numbers, abbreviations, symbols, terms, book content, and coding guidelines are covered. This course introduces various types of insurance plans, legal considerations involving coding, insurance terminology, causes for claim rejection, completion of the coding portion of medical reports and insurance forms. (Prerequisites: ADSC1610, ADSC1621, ADSC1622 and ADSC1614) (3 hrs lec/0 hrs lab/0 hrs OJT)
ADSC16383International Classification of Diseases - 10th Revision PCS This course provides basic knowledge of ICD-10-PCS coding system and delineates the purpose it serves. Basic coding facts, structure of code numbers, abbreviations, symbols, terms, book content, and coding guidelines are covered. Students will be introduced to the professional standards for coding and reporting of inpatient and outpatient services. Students will practice identifying and accurately assigning codes to procedures. (Prerequisites: ADSC1610, ADSC 1621, ADSC1622 and ADSC1614) (3 hrs lec/0 hrs lab/0 hrs OJT)

Other Course Requirements:
REQUIRED PRE-TECHNICAL COURSE (NOTE: IF STUDENT TYPES LESS THAN 20 WPM.)
ADSC1710 INTRODUCTION TO KEYBOARDING 1 CR


Pre-Program Requirements:
Successful entry into this program requires a specific level of skill in the areas of English and reading. Program entry will depend, in part, on meeting the prerequisites listed below:

English:
• A score of 86 or higher on the Sentence Skills portion of the CPT, OR
• Completion of ENGL0460 or its equivalent transfer course or higher.
• If required, ENGL0460 may be taken concurrently with Semester I coursework.

Reading:
• A score of 78 or higher on the Reading Comprehension portion of the CPT, OR
• Completion of READ0465 or its equivalent transfer course or higher.
• If required, READ0465 may be taken concurrently with Semester I coursework.

Required Pre-technical Course:
ADSC 1710