Jul 23, 2024  
2023-24 Catalog 
2023-24 Catalog [ARCHIVED CATALOG]

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AHEA 124 - Advanced Medical Billing and Coding

5 CR

This course expands on intermediate medical billing & coding procedures by providing the knowledge and skills to assess, evaluate, and trouble shoot these systems. This course will also include some industry certification preparation.

Prerequisite(s): Successful completion of both AHEA 120  and AHEA 122  with a C or better at BC, or permission of Program Chair.

Course Outcomes
  • Differentiate cause and effects for the rejected claims troubleshooting process. 
  • Explain industry certification options. 
  • Critique a variety of coding systems, including CPT, HCPCS, ICD-9, ICD-10, as well as DRG. 
  • Assess the rules for a variety of insurance systems and scenarios (Medicare vs. commercial insurance, for example). 
  • Support the impact of correct vs. incorrect coding on reimbursement outcomes. 
  • Evaluate correct procedural and diagnostic codes for both outpatient and inpatient medical reports. 
  • Interpret appropriate communication strategies for a variety of scenarios in the Medical Billing & Coding profession.

Find out when this course is offered

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