May 10, 2024  
2011-2012 Catalog 
    
2011-2012 Catalog [ARCHIVED CATALOG]

MAST 105 - Insurance Billing & Coding (3)


The focus of this course is on the process of using source documents to apply diagnostic and procedural codes to patient records for the purpose of filing insurance claims. Topics covered include health insurance specialist as a career, introduction to health insurance, managed health care, life cycle of an insurance claim, legal and regulatory issues, ICD-9-CM coding, CPT coding, HCPCS coding, CMS reimbursement methodologies, coding for medical necessity and the essentials of CMS-1500 claim instructions. Also, insurance carriers such as Blue Cross and Blue Shield, Medicare, Medicaid and others are covered.

Prerequisite(s): MAST 101  and OFTC 103.