HITT 2340
Advanced Medical Billing & Reimbursement

Western Texas College

  1. Basic Course Information
    1. Course description: Skill development coding to prepare reimbursement forms in various health care settings for submission to payers.
    2. Any required prerequisites: None.
  2. Student Learning Outcomes:
    1. Code health records using various classification systems; execute reimbursement forms; and apply revenue cycle management procedures. Measurement by mastery of medical software and application of correct reimbursement and coding methods.
  3. Major Course Requirements
    1. Proctored mid-term and final exam.
  4. Information on Books and Other Course Materials:
    1. Pearson (2013). Guide to Medical Billing. 3rd  Ed.  ISBN# 13: 978-0-13-504137-6
  5. Other Policies, Procedures and Important Dates are available in the WTC Course Catalog.
  6. Course Organization and Schedule
    1. Weekly Course Schedule

Week 1

Moodle/Syllabus

Week 2

Chapter 1 – Intro to Medical Billing

Week 3

Chapter 2 –Ethical & Legal Issues of Medical Billing

Week 4

Chapter 3 – Clinical Records & Medical Documentation

Week 5

Chapter 4 – Health Insurance Contract & Interpretation

Week 6

Chapter 5 – Medicare & Medicaid
Chapter 6 – Worker’s Compensation

Week 7

Chapter 7 – Managed Care

Week 8

Mid-term exam; Chapter 8 – Medical Practice Accounting

Week 9

Chapter 9 – Reference Books
Chapter 10 – ICD-9-CM Coding

Week 10

Chapter 11 – Transitioning from ICD-9-CM to ICD-10-CM/PCS

Week 11

Chapter 12 – Coding with ICD-10-CM/PCS

Week 12

Chapter 13 – CPT Coding

Week 13

Chapter 14 – The CMS-1500 Form & Medical Billing Procedures

Week 14

Chapter 15 – The UB-04 Form & Hospital Billing Procedures

Week 15

FINAL EXAM REVIEW

Week 16

FINAL EXAM

Disclaimer:  Schedule and content is subject to change at the instructor’s discretion.

 

NOT PROCTORED

PROCTERED

Weekly Assignments

30%

 

Project

20%

 

Exams

10%

 

Mid- Term & Final Exam

40%

 

 

 

Last Modified: August 27, 2015