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 introduction to health insurance, managed health care, life cycle of an insurance claim, legal and regulatory issues, ICD-9-CM coding, ICD-10 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 - Introduction to Medical Assisting (3), MAST 102 - Medical Terminology (3), MAST 106 - Medical Office Management (2), and MAST 106L - Medical Office Management Lab (1)