MAS 124 : Survey of Medical Coding and Billing
This course introduces the student to medical insurance coding using the International Classification of Diseases and Current Procedural Terminology codes for physician services and outpatient procedures. Students develop knowledge and skill in working with the physician to receive maximum reimbursement; demonstrating sensitivity in communicating with providers and patients; and applying managed-care policies, third-party guidelines, and billing and collection practices. This course runs for seven weeks and includes one lecture hour and three laboratory hours per week. Instructional Support Fee applies. 1 credit. Prerequisite: HLT 101 or HLT 106, and BIO 115 or BIO 234
Course Outcomes
1. Identify the current procedural and diagnostic coding systems, including Healthcare Common Procedure Coding Systems II (HCPCS Level II).
2. Describe how to use the most current procedural coding system.
3. Identify the effects of upcoding and down coding.
4. Define medical necessity.
5. Perform procedural coding.
6. Perform diagnostic coding.
7. Utilize medical necessity guidelines.