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2020-2021 Catalog 
2020-2021 Catalog [ARCHIVED CATALOG]

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MIS 102 - Medical Coding for Insurance Billing

Credits: 4
3 Lecture Hours 3 Lab Hours

Prerequisites: ALH 140  and Acceptance into the MIS Program

This course will present a comprehensive study of diagnostic and procedural medical coding for insurance billing utilizing the ICD and CPT classification systems. Application of these codes to medical insurance claims forms and their impact on proper reimbursement for health care services will be emphasized. This course requires a per credit health career fee; check the tuition and fee schedule for the current rate.

Learning Outcomes
Upon successful completion of the course, the student will:

  1. Identify the content and arrangement of the major divisions of each volume of the ICD coding system.
  2. Interpret abbreviations, punctuations, symbols and other conventions and notations used in ICD.
  3. Analyze medical documentation to assign appropriate ICD codes for diagnoses.
  4. Apply coding principles of ICD to specific medical cases for adequate reimbursement.
  5. Demonstrate an understanding of CPT guidelines as they pertain to the six major divisions of the CPT coding manual.
  6. Recognize the circumstances when CPT modifiers are used for maximal reimbursement.
  7. Interpret abbreviations and symbols used in CPT.
  8. Recognize the circumstances when HCPCS codes are used.
  9. Select appropriate CPT and HCPCS codes for procedures, services and supplies.
  10. Apply coding principles of CPT to specific medical cases for adequate reimbursement.
Listed Topics
  1. ICD coding system
  2. CPT coding system
  3. HCPCS coding system
  4. Coding of medical insurance claim forms
Reference Materials
Textbooks, workbooks, software packages, case studies, current ICD and CPT coding manuals, etc.
Approved By: Johnson, Alex Date Approved: 04/28/2010

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