MEDA 130 Admin: Billing & Coding

5 credits

Introduction to medical coding and billing procedures including insurance coverage, terminology, payment systems, legal and ethical issues, healthcare compliance, and collections. As well as review of various types of health insurance plans, such as state, federal, and managed care. Students will learn the insurance claims processing cycle, billing systems, and required documentation

Prerequisites: MEDA 116 and MEDA 121

Course Outcomes
Upon successful completion of this course students will be able to:

Identify the current procedural and diagnostic coding systems, including Healthcare Common Procedure Coding Systems II (HCPCS Level II)
Identify the effects of upcoding and down coding
Define medical necessity
Perform procedural coding
Perform diagnostic coding
Utilize medical necessity guidelines

Total Hours: 60 Theory (Lecture) Hours: 40 Guided Practice (Lab or Clinical) Hours: 20