south texas college

MDCA 1343 Course Guide

This course emphasizes medical office coding procedures for payment and reimbursement by patient or third party payers for ambulatory care settings. Prerequisite: Admission to the program and Program Chair approval.

SI Leader

Name of SI Leader: Rosario Vazquez

Office Location: Pecan Campus, C - 108

Office Telephone #: 956-872-2581

Email Address: rvazques_0302@southtexascollege.edu

Discussion Topic

 

Ch 1. "Introduction To The Revenue Cycle"

           The chapter covers medical insurance and plans, reimbursement methods, and payers, concluding with requirements for success as a   

           medical insurance specialist.

 

Ch 2. "Electronic Health Records, HIPAA, and HITECH: Sharing and Protecting Patients' Health Information 

           This chapter covers medical records and documentation, an overview of HIPPA / HITECH legislation, and fraud, abuse, and compliance.

 

Ch 3. "Patient Encounters & Billing Information"

           This chapter covers new vs. established patients, verifying patient eligibility, referrals and encounter forms.

     

 

Supplemental Reading