Printed on 5/20/2022
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
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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.
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Evaluation & Management Coding
10-501-116
3Credit
54
108
N/A
- Instructional Hours: 54
- Outside Effort Hours: 108
- Course Number: 10501116
- Credits: 3.00
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.
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Health Insurance
10-539-201
3Credit
54
108
N/A
- Instructional Hours: 54
- Outside Effort Hours: 108
- Course Number: 10539201
- Credits: 3.00
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.
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Advanced Medical Coding
10-501-118
3Credit
54
108
N/A
- Instructional Hours: 54
- Outside Effort Hours: 108
- Course Number: 10501118
- Credits: 3.00
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.
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Revenue Cycle Management
10-501-119
3Credit
54
108
N/A
- Instructional Hours: 54
- Outside Effort Hours: 108
- Course Number: 10501119
- Credits: 3.00
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.