2017-2018 Academic Catalog 
    
    Apr 20, 2024  
2017-2018 Academic Catalog [ARCHIVED CATALOG]

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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; BSTEC 120 or placement into MATH 077.
Course-level Learning Objectives (CLOs)
Upon successful completion of this course, students will be able to:

  1. Identify processes and form conclusions related to U.S. health insurance plans and government sponsored health benefit programs.
  2. Identify and evaluate employment opportunities and continuing education expectations in the medical billing field.
  3. Synthesize written and oral conclusions about health insurance terminology, plans, claims, forms, and payment systems.
  4. Identify and list the primary medical payer groups and resources.
  5. Evaluate and apply principles of financial reimbursement, monitoring, and reporting.
  6. Identify and apply medical practice legal and ethical guidelines and terminology.
  7. Identify health information laws, regulations, and governing bodies.
  8. Identify and apply concepts of confidentiality, privacy; and security policies, procedures, and monitoring.
  9. Access professional associations and evaluate their importance in healthcare billing.



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