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Coding and Reimbursement

Course Number: MA 180
Transcript Title: Coding and Reimbursement
Created: September 1, 2012
Updated: September 25, 2013
Total Credits: 2
Lecture Hours: 20
Lecture / Lab Hours: 0
Lab Hours: 0
Satisfies Cultural Literacy requirement: No
Satisfies General Education requirement: No
Grading options: A-F (default)

Course Description

Introduces coding and reimbursement systems for physician offices and medical clinics.

Intended Outcomes

Students who successfully complete this course will be able to:

  1. Understand the usage of coding systems in physician offices and medical clinics.
  2. Correctly assign CPT codes and E/M level of service codes to physician office and medical clinics encounters.
  3. Correctly code medical diagnoses utilizing ICD9 CM.
  4. Understand the relationship between coding systems and reimbursement for services.

Outcome Assessment Strategies

  1. Answering theoretical and application questions on information covered in the lecture, graded assignments and reading assignments.
  2. Code case studies from physician offices and medical clinics.

Course Content (Themes, Concepts, Issues and Skills)

COMPETENCIES AND SKILLS

To complete the outcomes the student must have skills and knowledge in:

  • Medical terminology
  • Basic anatomy and physiology

The following list outlines the concepts, themes and issues you need to understand and be able to use appropriately. You will have the opportunity to demonstrate your understanding in written and oral form, individually and in groups. See attached.

  1. Students will learn and understand how to apply managed care policies and procedures to billing and coding.
  2. Students will learn and understand the characteristics of 3rd party guidelines.
  3. Perform procedural coding and diagnostic coding on exams and practice billing forms.
  4. Complete and properly fill out insurance claim forms such as the CMS-1500.