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.

Assigned Reading

Discussion Topic

Ch 12 "Worker's Compensation & Disability / Automotive Insurance"

            This chapter covers federal and state programs, eligibility requirements, special handling practices, billing notes, and claims for 

             Workers' Compensation.


Ch 13 "Payments (RAs) Appeals, & Secondary Claims"

            The chapter focuses on handling payers' RAs, appealing denied or underpaid claims, and preparing secondary claims.