Healthcare Administration- Medical Billing & Coding

Academic Division of Professional Programs

The Health Care Administration Program is mainly designed for students who anticipate transferring to a baccalaureate degree-granting institution. The course of study is interdisciplinary and includes the college core curriculum and courses specific to administration and health care as well as general liberal arts. Within this program students may choose the Medical Billing and Coding option.

Download the Healthcare Administration: Medical Billing & Coding Associate in Science Degree overview sheet.

Download the Healthcare Administration: Medical Billing & Coding Certificate overview sheet.

Certificates

The Health Care Administration-Medical Billing and Coding Certificate Program’s main focus is to well-prepare the student to work in this specialized field of healthcare. Knowledge of anatomy and physiology, medical terminology, administrative concepts and specific coding requirements will be offered to assist the student in becoming nationally board certified as a professional coder.

Program Outcomes
At the completion of the Certificate in Health Care Administration-Medical Billing and Coding, the student should be able to:

  • Demonstrate proficiency in coding using: International Classification of Diseases, ICD-CM codes, current revision; current Procedural Terminology, CPT codes, current edition; Health Care Common Procedure System, HCPCS codes, current edition
  • Recognize the essential duties and responsibilities of medical insurance billing
  • Analyze a patient medical record for correct use of medical codes for reimbursement
  • Describe the reimbursement requirements for various insurance claims
  • Demonstrate the proper use of medical terminology
  • Demonstrate an understanding of the anatomy and physiology of the human body from the
    cellular level to the system level

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Degrees

The Health Care Administration Program is mainly designed for students who anticipate transferring to a baccalaureate degree-granting institution. The course of study is interdisciplinary and includes the college core curriculum and courses specific to administration and health care as well as general liberal arts. Within this program students may choose the Medical Billing and Coding option.

Program Outcomes
At the completion of this program, the student should be able to:

  • Demonstrate proficiency in coding using: International Classification of Diseases, Ninth Revision (lCD-g) coding book; Current Procedural Terminology (CPT) coding book; Healthcare Common Procedure System (HCPCS)
  • Recognize the essential duties and responsibilities of medical insurance billing
  • Demonstrate proficiency in English language and grammar in the medical environment
  • Interpret a patient medical report
  • Describe the reimbursement procedures for different types of medical records, settings, and procedures
  • Evaluate the accuracy and completeness of the patient record as defined by organizational policy and external regulations and standards
  • Validate the data collected for appropriate reimbursement;
  • Outline the ethical considerations that impinge on the fields of healthcare
  • Define medical terms and abbreviations
  • Demonstrate an understanding of the anatomy and physiology of the human body from the cellular level to the system level
  • Describe the origins, history, structure, and functions of the U.S. healthcare system

Plymouth

Quincy

Healthcare Administration- Medical Billing & Coding Courses
    •  
    • Code
    • Course
    • Credits
    • CSI 101
    • Introduction to Computers
    • 3
    This course introduces the student to the theory, structure, and application of computers. Topics include word processing, spread sheeting, presentation, and database management (software).
    • HSC 140
    • Medical Terminology
    • 3
    This course provides a foundation for the understanding of medical terms, their abbreviations, basic anatomy and physiology as well as pathological conditions. It includes the study of prefixes and suffixes and root/stem words as well as medical technology terms with an emphasis on spelling, pronunciation, definitions and common usage. This course is similar to learning a foreign language and involves the memorization as well as the application of words/terms. The student will study and demonstrate proficiency in spelling, pronouncing, definition and application of medical terms.
    • MBC 101
    • Introduction to Medical Billing and Coding
    • 3
    This course will focus on the components of medical billing and coding regulations. Students will be taught how to use ICD-10-CM, CPT, and HCPCS codes. The students will learn the rules and regulations required to successfully code an encounter/ medical record. Prerequisites: HSC 140, and HSC 149, or be enrolled in HSC 140, and MBC 101.
    • HSC 149
    • Applied A&P for Health Care Professions
    • 4
    This course is an integrated study of the anatomy and physiology of the human body from the cellular level to the system level; designed for students embarking on a career/profession in the field of health care. Emphasis will be placed upon clinical applications, associated medical terminology and patient assessment. Advances in biomedical technology and patient/client treatment will be highlighted. Completion of HSC 140 prior to enrollment HSC 149 strongly recommended.
    • PHL 103
    • Medical Ethics
    • 3
    This course will examine a number of value problems arising from the broader context of ethical systems and explore them within the context of medicine and health care. Among the ethical problems, particular considerations will be given to euthanasia, abortion, genetic research, and human experimentation. Issues of medicine and the public interest will also be discussed. Open to all students. Placement at ENG 101 level strongly advised.
    • MBC 120
    • Insurance Claims Procedures
    • 3
    This course will develop the skills necessary to complete insurance forms and solve common medical insurance problems through a series of courses that emphasize the knowledge of insurance terminology, diagnostics, procedural coding and records management. This course introduces specific insurance reimbursement policies and procedures and emphasizes procedures for Blue Cross/Blue Shield, Medicare, Medicaid, Tricare, and health maintenance organizations (HMOs). Prerequisites: HSC 140, HSC 149.
    • HCA 104
    • Health Care Delivery Systems
    • 3
    The course introduces students to the historical development, structure, operation, and current and future directions of the major components of the American health care delivery system. It examines the ways in which health care services are organized and delivered, the influences that impact health care public policy decisions, factors that determine the allocation of health care resources and the establishment of priorities, and the relationship pf health care costs to measurable benefits. The course enables students to access the role of organized efforts to influence health policy formulation, and the contributions of medical technology, delivery system. Additionally, this course provides an orientation to key health care statistical information.
    • CSA 213
    • Database Management
    • 3
    This course is designed to introduce the fundamental process of developing, implementing, and maintaining a database system in order to produce management information. MS Access or other relational database programs will be used. Database programming is also included.
    • MBC 127
    • Medical Diagnostic and Procedural Coding
    • 3
    This course focuses on the specific coding guidelines for the 12 body systems and medicine. Medical record analysis will be emphasized in code assignments. Current health care policy and regulations will be followed to ensure accuracy for reimbursement purposes. All coding methods will be analyzed with the support of the ICD-10-CM, CPT, and HCPCS coding books. This course will prepare students for the national certification exam with the American Academy of Professional Coders, AAPC. Prerequisites: HSC 140, HSC 149, & MBC 101.
    • SOC 112
    • Interpersonal Communication
    • 3
    An experience-based introduction to the concepts and skills in oral communication; listening, feedback, group discussions, speeches, self-disclosure and relational communication.
    • ENG 224
    • Writing for Professionals
    • 3
    Students develop writing techniques and conventions peculiar to magazine writing, advertising, business, technical writing, and editorializing. Ads, technical articles, reports, abstracts, manuals, and documentation will be practiced.

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Contact Info:

Quincy Campus

1250 Hancock Street
Quincy, MA 02169

Tel:  (617) 984-1700

Plymouth Campus

36 Cordage Park Circle
Plymouth, MA 02360

Tel:  (508) 747-0400

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