This course focuses on concepts needed for an effective and efficient billing process for acute and ambulatory care settings. This course continues to build on skills and content knowledge from all previous MBCS courses, including medical terminology and billing procedures and processing.
An overview of the hospital and clinical organizational structures and billing systems will be provided. Hospital-based reimbursement systems such as Diagnosis-Related Groups (DRG), Resource-Based Relative Value Scale (RBRVS), and Ambulatory Payment Systems (APC), as well as logic-based computerized billing software, will be explored. Students will also examine the Uniform Billing (UB-04) form and its application to hospital billing.
Students will continue to apply the ICD-10, CPT, and HCPCS codes from the appropriate manuals in case studies.
Credits:
5.0
In Class Clock Hours:
72.00
Lab Hours:
40.00
Prerequisite:
MBCS300