Students will learn the basic principles of medical billing, recognize the different forms used by third-party payers, create a clean claim (1500 form) and define insurance billing terminology and types of coverage. Students will learn the responsibilities of a medical insurance specialist, the life cycle of insurance claim, and various templates of billing commercial insurance.
Learning coding ICD-10-CM is important, anticipating the major changes in processing claims effective October 1, 2015 the effective date of ICD-10-CM in the United States.
Uses textbooks from previous classes.
Prerequisite: MB2 ICD-10 Coding
Upon the successful completion of this course, students will be able to:
- Demonstrate proficiency in medical billing principles and claim creation, including the ability to recognize different forms utilized by third-party payers.
- Demonstrate a comprehensive understanding of insurance billing terminology and types of coverage.
- Apply ICD-10-CM coding and knowledge to the claim life cycle.
This course falls under the Communication, Critical Thinking, Information, Technology & Literacy, and Personal, Social, Civic & Environmental Responsibility Institutional Level Outcome (ILO).
