MEDA216 Medical Insurance, Billing and Reimbursement

Department of Professional Studies: Allied Health & Nursing: Medical Assisting

I. Course Number and Title
MEDA216 Medical Insurance, Billing and Reimbursement
II. Number of Credits
3 credits
III. Number of Instructional Minutes
IV. Prerequisites
OADM140 or
V. Other Pertinent Information
VI. Catalog Course Description
This course covers advanced medical administrative procedures using billing software. Topics including maintaining files, entering patient data, inputting insurance, posting transactions, generating reports, and scheduling appointments are covered.
VII. Required Course Content and Direction
  1. Course Learning Goals

    Students will:

    1. schedule appointments, file claims, record data, and print reports using medical billing software;
    2. perform basic medical administrative functions;
    3. demonstrate an understanding of third-party insurance guidelines; and
    4. determine physician reimbursement through accurate claim submission.
  2. Planned Sequence of Topics and/or Learning Activities

    1. maintaining patient records
    2. managing medical records
    3. scheduling electronic appointments
    4. processing insurance claims
    5. bookkeeping and banking
    6. billing and collections
    7. accounts payable, payroll, and contracts
  3. Assessment Methods for Course Learning Goals

    The assessment of course learning goals will be based on classroom discussions, written exams, assignments, papers, and/or performance-based tasks and projects.
  4. Reference, Resource, or Learning Materials to be used by Student:

    See course syllabus.

Review/Approval Date - 3/99; Revised 4/05; Revised 12/2009; New Core 8/2015