Location:
Various, distance learning format.
Dates:
March 2007 - December 2014.
Learner Outcomes:
Students will be able to: explain the career role and responsibilities of an insurance billing specialist, define: confidentiality and legal issues such as fraud and abuse affecting a medical practice, electronic health information management, HIPAA compliance, privacy, and security issues affecting insurance billing, list penalties for noncompliance with HIPAA, summarize the history of insurance in the United States, differentiate between types of health insurance coverage and important federal, state, and private health insurance plans, define and spell key medical and insurance terms and abbreviations, identify the principles, guidelines, and contents of documentation in the health care record, complete the CMS-1500 claim form accurately for federal, state, and private payer insurance contracts, identify code sets, data elements, standards, and technical and physical safeguards used to protect privacy of electronic health data, perform billing and collection procedures, compute mathematical computations utilizing mock physical fee schedules, compose an introductory cover letter and professional resume.
Instruction:
The focus of this course is to provide students with professional training to seek employment as a medical billing specialist. Methods of instruction are: reading assignments, lesson exercises, quizzes, projects, and exams.
Credit recommendation:
In the lower division associate/baccalaureate degree category, 3 semester hours in Medical Billing (3/12).
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