Issue link: https://www.e-digitaleditions.com/i/1149806
Course Listings 2019-2020 336 (MBC) MEDICAL BILLING AND CODING MBC100 324 Clock Hours Fundamentals of Medical Billing and Coding Fundamentals in health care delivery, including career and labor market information, medical law and patients' rights, as well as health care worker responsibilities. Personal wellness covers nutrition, stress management, and exercise. Occupational Safety and Health Administration (OSHA) standards and facility safety. Communication skills focus on teamwork in the health care setting, personal communications skills, and intercultural communication strategies. Medical terminology for health care workers uses a body systems approach to terms relating to structure and function. Medical terms are analyzed and built based on term parts, such as root words, suffixes, and prefixes; abbreviations are included. Clinical pathophysiology includes causes of disease and the impact on the human body. Diagnosis and treatment of diseases covers procedures and diagnostic tests. Pharmacology for allied health professionals covers chemical, generic, and trade or brand names of drugs. Routes of ad ministration, regulations, classifications and categories of schedule drugs are covered, as well as abbreviations and symbols used in relation to drug administration and prescriptions. This course serves as a prerequisite for MBC110, MBC120, MBC130, and MBC140. Prerequisites: Admission into the Medical Billing and Coding program. MBC110 110 Clock Hours Medical Billing The introduction to medical billing and reimbursement focuses on an overview of the medical billing profession. Claims processing and billing guidelines are covered. Study of the major third-party payers, military carriers, as well as Medicare and Medicaid. Focuses on correct billing practices. Included are types of coverage offered, eligibility, and reimbursement methodologies. Actual medical claims processing with accuracy is learned for patients in the non-hospital setting. Management of claims to ensure confidentiality, data retention, and successful payment for services. This class serves as a prerequisite for MBC140. Prerequisites: MBC100. MBC120 296 Clock Hours Medical Coding ICD-10 diagnostic coding using the International Classification of Diseases, 10th revision, clinical modification. Use of appropriate guidelines and federal, state, and local compliance standards for coding diagnoses. Application of diagnostic codes for outpatient and ambulatory coding assignment. Introduction to current procedural terminology (CPT) from both facility and physician perspectives. General content, coding guidelines, and the role in healthcare reimbursement are covered. Coding of basic medical and surgical services including the use of modifiers. In-depth exposure to CPT coding, reimbursement trends, guidelines, and coding from physician documentation. Application of current evaluation and management documentation guidelines. Emphasis on surgical and diagnostic procedures. Appropriate assignment of CPT and healthcare common procedural coding system (HCPCS). This class serves as a prerequisite for MBC130 and MBC140. Prerequisites: MBC100. MBC130 45 Clock Hours Examination Review Extensive, hands-on coding that prepares the student to register and sit for the national CPC (Certified Professional Coder) exam offered through the American Academy of Professional Coders (AAPC) to obtain certification for a medical coding career in an outpatient facility. Review of fundamental coding skills for an outpatient setting and knowledge and expertise in reviewing and assigning the correct ICD-10-CM, CPT, and HCPCS codes. Test-taking techniques are included to optimize examination preparation. Timed practice exams are included in this course to simulate the actual CPC examination. The outcome will help the student determine his or her readiness for the national certification exam. Prerequisites: MBC100 and MBC120. MBC140 30 Clock Hours Computers in Medical Billing and Coding Health record documentation for allied health professionals is an introduction to computer applications in health care settings. Students will use a simulation of an electronic health record (EHR) for billing, coding entry, and patient accounts. A basic review of federal, state, and organizational documentation guidelines is included, as well as legal and ethical issues applicable to health information documentation and coding practices. Prerequisites: MBC100, MBC110, MBC120, and MBC130 or permission of Program Director.