MEDICAL CODING AND REIMBURSEMENT FUNDAMENTALS

  • Program: Medical Office Careers
  • Course: Medical Coding and Reimbursement Fundamentals
  • Course #: OFCR1335
  • Total Credits: 4

Course Description

This course includes an overview of ICD10 diagnostic coding as well as CPT and HCPCS procedural coding. Principles of complete and accurate coding for both statistical reporting and insurance billing will be covered. Exercises and case studies will be used to demonstrate requirements for accurate coding and claims processing.

Course Evaluation

Refer to Course Syllabus for detailed information regarding the requirements and evaluation standards for this course. The Course Syllabus will be distributed the first week of the course.

Disability Services

Hennepin Technical College offers reasonable accommodations to qualified students with disabilities. If you have a documented disability that may require accommodations, contact the college’s Disability Services Director: Sara Laviolette at Brooklyn Park (763-488-2477) or Jean Kreutter at Eden Prairie (952-995-1544).

Course Goals

The following goals will be addressed in the course:
Demonstrate use of coding publications: ICD10, CPT, and HCPCS
Utilize reference materials effectively
Assign ICD10 diagnostic codes
Assign HCPCS national codes
Assign CPT procedure/service codes
Demonstrate code sequencing in multiple diagnoses
Link diagnostic codes with procedure/service codes
Describe basic billing functions
Identify insurance reimbursement methodologies
Outline specific payer guidelines
Complete insurance claims
Explain the Electronic Date Interchange (EDI) process

Credit Details
  • Lecture: 4
  • MnTC Goal: 0
Course Details
  • Prerequisites:  OFCR1301
  • Campus: Brooklyn Park/Eden Prairie

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