MED 151 : Medical Billing and Coding II
Medical assisting students receive advanced training in procedural and diagnostic coding and medical billing practices. Topics covered include ICD-9, ICD-10, and CPT coding, and hospital billing and coding procedures. Students will be instructed in the use of an educational electronic medical record (EMR) system. NOTE: Students need to have entry codes to register.
Course Outcomes
- Interpret information on an insurance card
- Verify eligibility for services including documentation
- Obtain precertification or preauthorization including documentation
- Complete an insurance claim form
- Interact professionally with third party representatives
- Display tactful behavior when communicating with medical providers regarding third party requirements
- Show sensitivity when communicating with patients regarding third party requirements
- Describe how to use the most current procedural coding system
- Describe how to use the most current diagnostic coding classification system
- Describe how to use the most current HCPCS level II coding system
- Discuss the effects of:
- a. upcoding
- b. downcoding
- Define medical necessity as it applies to procedural and diagnostic coding
- Perform procedural coding
- Perform diagnostic coding
- Utilize medical necessity guidelines
- Utilize tactful communication skills with medical providers to ensure accurate code selection