Medical Billing I HITT 1091

							         HOUSTON COMMUNITY COLLEGE
                SOUTHWEST




                Medical Billing I
                  HITT 1091




Date and Time of class:
Class CRN:
Instructor’s Name:
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Phone number:
                HOUSTON COMMUNITY COLLEGE • POWER CENTER
                           COURSE SYLLABUS

                                          Medical Billing I
                                            HITT 1091

Topics address recently identified current events, skills, knowledge, and/or attitudes and
behaviors pertinent to the technology or occupation and relevant to the professional
development of the student.

COURSE OBJECTIVE:

This course is designed to provide practical billing applications of MediSoft (medical software)
and the linkage of coding systems—ICD, CPT, HCPCS, and DSM in a multiple health
information setting to successfully and accurately submit claims for reimbursement.

GOALS:

Upon completion of this program:

   •   Students will understand the purpose of medical practice accounting.
   •   Students will understand the techniques of entering patient demographic and insurance
       information using medical software.
   •   Students will advance to entering ICD and CPT codes to develop insurance claim forms.
   •   Students will demonstrate knowledge of filing commercial and government claims.

LEARNING OUTCOMES:

Students will demonstrate mastery of these objectives by successfully completing “10” HCFA
1500 insurance claim forms manually.

PREREQUISITE:

Medical Terminology and Medical Coding.

REQUIRED TEXTBOOK:

Patient Billing using Medisoft, McGraw Hill

COURSE REQUIREMENTS AND EXPECTATIONS

This is a 32-hour instructor guided course. Student will complete the required chapter exercises
within the textbook and practice the chapter exercises on the computer.




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ATTENDANCE:

To fully benefit from the class, students are expected to attend all classes.

REQUIREMENTS FOR COURSE COMPLETION CERTIFICATE:

To receive a Certificate of Completion and Continuing Education Units, students must meet the
following requirements:
    • Attend at least 80% of scheduled class time
    • Complete the course material demonstrating mastery of course concepts as determined
       by the instructor

OPPORTUNITIES FOR STUDENT-FACULTY INTERACTION:

Students are encouraged to ask questions and request clarification or guidance as needed
during class. A question and answer period is always provided.

OPPORTUNITIES FOR CAREER EXPLORATION:

Topics relevant to future employment and career exploration opportunities will be presented to
the students.

OPPORTUNITIES FOR SUPPLEMENTAL INSTRUCTION:

Students are informed of instructional aids and resources, including books, other publications,
and web sites relevant to the course.

SPEAKER FORUM:

At the discretion of the instructor, speakers may be invited to address the class on pertinent
topics.

CELL PHONES AND PAGERS:

Cell phones and pagers can be disruptive during class. Please turn these devices off or set to
mute while in the classroom or student lab.




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WITHDRAWAL AND REFUND POLICY:

Please refer to your schedule for withdrawal and refund policy.

DISABILITY SERVICES:

Any student with a documented disability (e.g. physical, learning, psychiatric, vision, hearing,
etc.) who needs to arrange reasonable accommodations must contact the Disability Services
Office at the respective college at the beginning of each semester. Faculty is authorized to
provide only the accommodations requested by the Disability Support Services Office. The
Southwest College Disability Services Office phone number is 713-718-7909.


DISCLAIMER:

Medical Billing introduces students to data entry of patient demographic information
and insurance claims processing. The Contract Training and Continuing Education department
does not guarantee student job placement in hospitals or medical offices, or insurance claims
offices, and the course does not prepare students for home/office billing businesses. Students
should not expect to have experience necessary for employment in the hospital setting. The
Medical Billing certificate program prepares a beginner student for entry-level skills in a doctor’s
office or billing department. Students should not expect enough experience to operate their own
billing service after two billing classes.




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               STUDENT COMPETENCY VALIDATION/EVALUATION
                        PRE-COURSE EVALUATION

                              MEDICAL BILLING – HITT 1091
This evaluation measures your current knowledge of Advanced Medical Transcription and helps
determine if this course is appropriate for your current skill level. Please answer the following by
placing a check mark in the appropriate column.

Can you perform the following tasks?             Can           Can Perform           Cannot
                                                 Perform       with help             Perform

Apply optical scanning guidelines when           ________      ________              ________
completing Claim Forms

Explain the function of the national Blue        ________      ________              ________
Cross and Blue Shield Association.

Identify the typical services found in Major     ________      ________              ________
Medical coverage.

Identify and explain the five HMO models.        ________      ________              ________

Identify the three levels of NCQA accreditation ________       ________              ________

Identify and explain the six managed care        ________      ________              ________
models.

Explain an insurance company’s claims            ________      ________              ________
review process.

Identify and explain the seven steps in coding ________        ________              ________
Diagnoses using the ICD-CM coding system

Explain the format of the CPT system.            ________      ________              ________



NAME ______________________________              DATE ____________________




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