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Printed on 1/23/2020

Medical Billing, Advanced

20-530-1 Certificate (C) 12 Credits Not Financial Aid Eligible Location*: Appleton

*If general education courses are required, they may be available at multiple locations.

Looking for advanced training in coding and billing? With this certificate, you'll grow your current knowledge of evaluation and management coding, HCPCS coding, auditing and the overall process of the revenue claim cycle including claim resolution.

COURSE LIST

Course list for reference only. Current students please refer to your individualized program plan or see your advisor.
**Outside effort hours are an estimate based on state standards, and may vary from person to person.

Course Title
Course
Number
Credits
Instructional
Hours
Outside Effort
Hours**
Prior Learning
Credit Eligibility
Evaluation & Management Coding
10-501-116
3Credit
54
108
N/A
54 hours in class and estimate 108 hours outside of class. Teaches the three components of evaluation and management coding: History, Physical Examination and Medical Decision Making and apply it to the various types of healthcare settings in which providers utilize these services. Auditing and compliance standards will also be explored and students will be able to evaluate documentation to validate accurate billing practices.
Health Insurance
10-539-201
3Credit
54
108
N/A
54 hours in class and estimate 108 hours outside of class. Analyze administration of insurance policies, procedures, & coverage decisions for variety healthcare services. Learn health insurance terminology, understand various government and commercial insurance programs, including navigation of websites. Discuss impacts of the Affordable Care Act, other regulatory factors of the U.S. system on health insurance.
Prereqs: Medical Terminology 10501101 and Culture of Healthcare 10501104 OR enrolled in Medical Billing, Advanced certificate
Advanced Medical Coding
10-501-118
3Credit
54
108
N/A
54 hours in class and estimate 108 hours outside of class. Expands upon student's current ICD-10-CM diagnosis and CPT courses and delves further into HCPCS coding, as well as modifiers required for services rendered and how it relates to the actual claim form.
Revenue Cycle Management
10-501-119
3Credit
54
108
N/A
54 hours in class and estimate 108 hours outside of class. Teaches the overall aspect of the revenue cycle from registration to claim processing and resolution of claim denials. Payer audits will also be discussed with a general understanding of how to handle audits from payers. Students will gain an understanding of how to communicate with payers.

Expected Competencies


For more information visit our Credit For Prior Learning page. ×