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Apr 23, 2024
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BSTEC 106 - Medical Billing
5.0 Credits
Overview of health insurance terminology, plans, claims, billing forms, and payment systems; revenue cycles and reimbursement methodologies for professional services; legal and ethical guidelines related to a medical practice. Prerequisite: BSTEC 104 ; BSTEC 130 or CIS 100 ; and BSTEC 120 or placement into MATH 060 .
Course Objectives
Upon successful completion of this course, students will be able to:
- Identify processes and form conclusions related to U.S. health insurance plans and government sponsored health benefit programs. [REASON]
- Identify and evaluate employment opportunities and continuing education expectations in the medical billing field. [REASON]
- Synthesize written and oral conclusions about health insurance terminology, plans, claims, forms, and payment systems. [REASON]
- Identify and list the primary medical payer groups and resources. [REASON]
- Evaluate and apply principles of financial reimbursement, monitoring, and reporting. [REASON]
- Identify and apply medical practice legal and ethical guidelines and terminology. [REASON]
- Identify health information laws, regulations, and governing bodies. [REASON]
- Identify and apply concepts of confidentiality, privacy; and security policies, procedures, and monitoring. [REASON]
- Access professional associates and evaluate their importance in healthcare billing. [EXPLORE]
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