MA 134 - Medical Insurance Coding
Credits: 3
Lecture Contact Hours: 3
Description: This course introduces the student to insurance coding guidelines developed for use with the International Classification of Diseases (ICD-10-CM) and Current Procedural Terminology (CPT). The course is designed to develop basic coding skills to record the services and procedures that are provided for the patient. The importance of accurate coding will be discussed as it is an essential part of reimbursement.
Prerequisites: None.
Corequisites: HIT 104 if not previously taken.
Recommended: None.
Course Category: Occupational
This Course is Typically Offered: Winter, Spring, Fall
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Course Competencies
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- Utilize medical terminology related to medical insurance coding procedures and insurance programs.
- Apply coding using the CPT and ICD-10-CM coding nomenclature.
- Comply with the Medicare National Correct Coding Initiative (NCCI) Edits.
- Choose procedure codes using the CPT and HCPCS Level II.
- Choose diagnoses codes using the ICD-10 CM.
- Follow medical necessity guidelines in all coding practices.
- Identify the effects of upcoding and downcoding.
- Apply tactful communication skills with medical providers and patients.
- Apply HIPAA guidelines in the coding process.
- Analyze physician notes to select procedures and diagnoses.
- Contrast ambulatory, inpatient and outpatient hospital coding
Note: Educational Competencies, mandated for Medical Assistants by the accrediting body MAERB, will be supplied in class.
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