MAS-2110 Administrative Medical Assisting II

Credits 4
This course is designed to introduce the student to the billing and reimbursement cycle in ambulatory care settings. Emphasis will be placed on the CPT and HCPS coding systems, diagnosis coding using the International Classification of Diseases (ICD-CM) as modified for use in the United States, and data collection requirements for financial reporting and statistical research.
Prerequisite(s): Completion of HIM-1530 or MAS-1100 and BIO-2050; and MAS-2010 with a C or better completed or concurrent: or permission of program director
4 class hours.
Course Outcomes

Identify disease and operation classifications and nomenclatures.
Apply the principles of ICD to a given diagnosis or procedure in an ambulatory care environment.
Solve coding questions using available references
Evaluate the accuracy of diagnostic and procedural coding
Apply the principles of CPT to a given service or procedures
Process an insurance claim from the physician’s office: including submission, reimbursement and appeal.
Complete the CMS 1500 claim form.
Identify compliance issues as they relate to fraud and abuse when associated with claims coding.
Apply the basic concepts of electronic billing.