Medical Office Billing and Bookkeeping – AMOA 206

CG • Section 8WK • 11/08/2019 to 04/16/2020 • Modified 07/28/2020

Course Description

This course provides students with up-to-date information regarding best practices of patient billing and bookkeeping for a medical office.

Prerequisites

NURS 105

Rationale

Medical office assistants have an important role in healthcare, and one of their responsibilities is medical office billing and bookkeeping. This course provides the necessary technical skills needed to perform this duty. The universal claim form CMS-1500, the carriers that submit the claim form, collections, payments, and accounts receivable will all be covered.

Measurable Learning Outcomes

Upon successful completion of this course, the student will be able to:

  1. Explain the job functions of a medical biller.
  2. Discuss the different health insurances and how to read an ID card.
  3. Discuss the elements of medical coding (CPT, HCPCS Level II, ICD-10, and modifiers).
  4. Explain the different forms, including patient registration, patient encounter, hospital sheet, and the CMS-1500 claim form.
  5. Demonstrate how to bill for office visits, procedures, and inpatient and facility services.
  6. Discuss claim submission and electronic clearinghouses.
  7. Discuss insurance explanation of benefits, payments, denials, and appeals.
  8. Explain accounts receivable, collections, and how collections and the state insurance commission work.
  9. Discuss ethical medical billing through integration of a Christian worldview.

Course Assignment

Textbook readings and lecture presentations

Course Requirements Checklist

After reading the Course Syllabus and Student Expectations, the student will complete the related checklist found in Module/Week 1.

Discussion Board Forums (5)

Discussion boards are collaborative learning experiences. Therefore, the student will create a thread in response to the provided prompt for each forum. Each thread must be at least 250 words and demonstrate course-related knowledge. In addition to the thread, the student will reply to the threads of at least 2 classmates. Each reply must be at least 100 words.

Activities (5)

The student will complete 5 activities that focus on course-related topics. Each activity must be 1–2 pages, include at least 1 reference in addition to the course textbooks and the Bible, and be in current APA format.

CMS-1500 Paper

The student will write a research-based paper that provides a contrast between the CMS-1500 (08/05) and the CMS-1500 (02/12). The paper must be 4–6 pages, include at least 4 references in addition to the course textbooks and the Bible, and be in current APA format.

Quizzes (2)

Quiz 1 will cover the Reading & Study material from Modules/Weeks 1–4, and Quiz 2 will cover the Reading & Study material from Modules/Weeks 5–6. Each quiz will be open-book/open-notes, contain 50 multiple-choice questions, and have a time limit of 1 hour and 30 minutes.

Final Exam

The final exam will cover the Reading & Study material for the entire course. It will be open-book/open-notes, contain 100 multiple-choice questions, and have a time limit of 2 hours.