Course Descriptions & Syllabi

Course Descriptions & Syllabi

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Note: some or all of the courses in the subjects marked as "Transfer" can be used towards a transfer degree: Associate of Science and Arts or Associate of Engineering Science at DACC. Transferability for specific institutions and majors varies. Consult a counselor for this information.

Areas of Study | | BOFF249 syllabus




COURSE NUMBER: BOFF249
COURSE TITLE:Medical Office Procedures II
DIVISION:Business
SEMESTER CREDIT HOURS:3
CONTACT HOURS:45
STUDENT ENGAGEMENT HOURS:135
DELIVERY MODE:In-Person

COURSE DESCRIPTION:
This course familiarizes the student with all aspects of the insurance industry relative to the medical office. Fees, billing, collections, and credit as well as financial management in the medical office will be discussed. The course will give the student an overview of insurance coding (CPT and ICD 10 coding), employability skills, resume writing, interview skills, and introduction to medical transcription, proofreading skills, punctuation, and spelling exercises are incorporated into this course.

STUDENT LEARNING OUTCOMES:
Upon completion of this course, students will be able to:
  • Differentiate between Commercial, Medicare, Medicaid, Tricare, and Worker’s Compensation.
  • Analyze managed care.
  • Obtain pre-certification and pre-authorization.
  • Complete HCFA-1500 forms for all insurances.
  • Locate CPT codes with modifiers and symbols in the CPT book.
  • Locate correct diagnostic code in ICD-10 CM codes books.
  • Reconcile payment rejections with a sample explanation of benefits form.
  • Understand the correlation of the CPT code(s) to the ICD-10 codes and the need for medical necessity for reimbursement of the procedure/service.

TOPICAL OUTLINE:
  1. Introduction to the Revenue Cycle
  2. Electronic Health Records, HIPAA, and HITECH: Sharing and Protecting Patients’ Health Information
  3. Patient Encounters and Billing Information
  4. Diagnostic Coding: ICD-10-CM
  5. Procedural Coding: CPT and HCPCS
  6. Visit Charges and Compliant Billing
  7. Healthcare Claim Preparation and Transmission
  8. Private Payers/ ACA Plans
  9. Medicare
  10. Medicaid
  11. Tricare and CHAMPVA
  12. Worker’s Compensation and Disability/Automotive Insurance
  13. Payments (RA’s), Appeals, and Secondary Claims
  14. Patient Billing and Collections

TEXTBOOK / SPECIAL MATERIALS:
See bookstore website for current book(s) at https://www.dacc.edu/bookstore

EVALUATION:
Evaluation of student progress is continuous utilizing completions of homework assignments, quizzes, examinations, written assignments, and class participation.

BIBLIOGRAPHY:

STUDENT CONDUCT CODE:
Membership in the DACC community brings both rights and responsibility. As a student at DACC, you are expected to exhibit conduct compatible with the educational mission of the College. Academic dishonesty, including but not limited to, cheating and plagiarism, is not tolerated. A DACC student is also required to abide by the acceptable use policies of copyright and peer-to-peer file sharing. It is the student’s responsibility to become familiar with and adhere to the Student Code of Conduct as contained in the DACC Student Handbook. The Student Handbook is available in the Information Office in Vermilion Hall and online at: https://www.dacc.edu/student-handbook

DISABILITY SERVICES:
Any student who feels s/he may need an accommodation based on the impact of a disability should contact the Testing & Academic Services Center at 217-443-8708 (TTY 217-443-8701) or stop by Cannon Hall Room 103. Please speak with your instructor privately to discuss your specific accommodation needs in this course.

REVISION:
Fall 2019

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