hcr220 | undergraduate
Claims Preparation I: Clean Bills Of Health
This undergraduate-level course is 9 weeks This course is available as part of a degree or certificate program. To enroll, speak with an Enrollment Representative.
topic title goes here
Summarizing the Medical Billing Process
- Relate HIPAA, ICD, CPT and HCPCS to the medical billing process
- Illustrate the billing process using the CMS 1500 form
- Discuss social, legal and ethical ramifications of HIPAA violations
Introduction to the Medical Billing Process
- Compare and contrast features of various health plans.
- Explain capitation and fee-for-service payment methods.
- Explain the basic steps in the medical billing process.
Procedural Coding: Introduction to HCPCS
- Explain HCPCS coding steps in the billing process
- Compare permanent codes and temporary codes
- Apply Level II HCPCS modifiers
HIPAA and Medical Records
- Relate ethics and etiquette standards for medical record keeping to HIPAA
- Debate how medical compliance plans limit liability.
- Discuss the relationship between medical records documentation and billing
- Summarize the purposes and provisions of HIPAA.
Patient Encounters and Billing Information
- Describe factors that determine patient eligibility
- Describe patient charges, billing procedures, and transactions
- Discuss strategies to improve the patient intake process
- Discuss V and E Codes
- Determine appropriate diagnosis code categories
- Explain the purposes of the Alphabetic Index and Tabular List
Procedural Coding: Introduction to CPT
- Describe CPT coding categories.
- Identify CPT modifiers
- Assign appropriate Evaluation and Management (E/M) codes
Visit Charges and Compliance Billing
- Discuss the impact of the Medicare National Correct Coding Initiative on medical billing and coding processes
- Evaluate billing compliance strategies
- Relate physician and payer fees to medical compliance
Health Care Claim Preparation and Transmission
- Compare the role of HIPAA 837 with CMS-1500 in the claim process
- Explain the importance of preparing and submitting "clean claims"
- Complete a CMS-1500 claim form.
Please ask about these special rates:
Teacher Rate: For some courses, special tuition rates are available for current, certified P-12 teachers and administrators. Please speak with an Enrollment Representative today for more details.
Military Rate: For some courses, special tuition rates are available for active duty military members and their spouses. Please speak with an Enrollment Representative today for more details.
The University of Phoenix reserves the right to modify courses.
While widely available, not all programs are available in all locations or in both online and on-campus formats. Please check with a University Enrollment Representative.
Transferability of credit is at the discretion of the receiving institution. It is the student’s responsibility to confirm whether or not credits earned at University of Phoenix will be accepted by another institution of the student’s choice.