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Mar 28, 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; and legal and ethical guidelines related to a medical practice. Prerequisite BSTEC 104; BSTEC 129 or BSTEC 130. Placement in MATH 077. Course-level Learning Objectives (CLOs) 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.
- Identify and evaluate employment opportunities and continuing education expectations in the medical billing field.
- Synthesize written and oral conclusions about health insurance terminology, plans, claims, forms, and payment systems.
- Identify and list the primary medical payer groups and resources.
- Evaluate and apply principles of financial reimbursement, monitoring, and reporting.
- Identify and apply medical practice legal and ethical guidelines and terminology.
- Identify health information laws, regulations, and governing bodies.
- Identify and apply concepts of confidentiality, privacy, and security policies, procedures, and monitoring.
- Access professional associations and evaluate their importance in health care billing.
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