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Course Description

Schoolcraft is excited to offer traditional credit face-to-face, hybrid, online, and remote classes for Fall 2020 while providing students a safe experience based on recent COVID-19 concerns.

Please see the COVID-19 web page to learn more. Keep checking the schedule for additions on our New, Added, and Late Starting Courses web page.

Medical Assisting - MA 155

Medical Insurance Billing

3 Credit Hours
3 Lecture Hours

Course Description

This course introduces the student to the various types of medical insurance including Blue Cross/Blue Shield, Medicare, Medicaid, Workers' Compensation and other third-party payers. The student will perform the tasks necessary to process claim forms for each type of medical insurance. Applying the guidelines of CPT, ICD-10 CM and Health Insurance Portability and Accountability Act (HIPAA) must be demonstrated by the student. 

Prerequisites

(A requirement that must be completed before taking this course.)

Course Competencies

Upon successful completion of the course, the student should be able to:

  • Apply coding using the CPT and ICD-10-CM coding nomenclature.
  • Utilize medical terminology related to medical insurance billing procedures and insurance programs.
  • Compose a claim adjustment form for third party reimbursement.
  • Compose a third party claim form.
  • Compare the various types of insurance coverage.
  • Apply tactful communication skills with medical providers and patients.
  • Identify guidelines for Workers' Compensation and auto insurance coverage.
  • Compare clinic versus inpatient and outpatient hospital services related to hospital claim processing.
  • Interpret information on an insurance card.
  • Apply HIPAA guidelines in the billing process.
  • Apply both sensitivity and ethical consideration in all communications.
  • Execute understanding of obtaining precertification or preauthorization including documentation.

Course Schedule

 CourseSectionCourse TitleLocationCredit HoursInstructorsSeats Available ⁄Capacity ⁄WaitlistStatusFeeDays-Time-Room

Fall; 2020; MEDICAL ASSISTING; No of Weeks : 15; Begins : 08/31/2020

 155245617Medical Ins BillingHYBRC3Frazier R7/12/0Open$12.00S  09:00 AM-09:54 AM WEBWEB
S  10:00 AM-11:54 AM RC410
 155245656Medical Ins BillingHYBRC3Frazier R1/12/0Open$12.00W  06:00 PM-06:54 PM WEBWEB
W  07:00 PM-08:54 PM RC410

Winter; 2021; MEDICAL ASSISTING; No of Weeks : 15; Begins : 01/11/2021

 155215654Medical Ins BillingRC3Frazier R0/10/0Closed$12.00M  06:00 PM-06:54 PM RC420
M  07:00 PM-08:54 PM RC410
 155215655Medical Ins BillingRC3Frazier R0/10/0Closed$12.00R  06:00 PM-06:54 PM RC420
R  07:00 PM-08:54 PM RC410

Key: Day of the Week

  • T = Tuesday
  • R = Thursday
  • S = Saturday
  • X = Sunday