MAST 1203 - Financial Business Practices for the Medical Office
Credit Hours: 3.00
Prerequisites: HHSC 1700 , HHSC 1740 , and WHES 2072 all with grade C or better
Corequisites: MAST 1201 and MAST 1202
(formerly MAST 1230)
This course focuses on financial skills related to bookkeeping, accounts receivable, third party reimbursement and procedural and diagnostic coding.
Billable Contact Hours: 3
Search for Sections
OUTCOMES AND OBJECTIVES
Outcome 1: Upon completion of this course, student will be able to define bookkeeping terms.
- Accounts receivable
- Accounts payable
- Describe banking procedure as related to the ambulatory care setting
- Identify precautions for accepting the following types of payments:
- Credit card
- Debit card
- Describe types of adjustments made to patient accounts including:
- Non-sufficient funds (NSF) check
- Collection agency transaction
- Credit balance
- Third party
- Identify types of information contained in the patient’s billing record
- Explain patient financial obligations for services rendered
Outcome 2: Upon completion of this course, student will be able to perform accounts receivable procedures.
- Perform accounts receivable procedures to patient accounts including posting:
- Prepare a bank deposit
- Obtain accurate patient billing information
- Inform a patient of financial obligations for services rendered.
Outcome 3: Upon completion of this course, student will be able to apply third party reimbursement procedures.
- Types of third party plans
- Information required to file a third party claim
- The steps for filing a third party claim
- Outline managed care requirements for patient referral
- Describe processes for:
- Verification of eligibility for services
- Differentiate between fraud and abuse
- Interpret information on an insurance card
- Verify eligibility for services including documentation
- Obtain precertification for preauthorization including documentation
- Complete an insurance claim form
Outcome 4: Upon completion of this course, student will be able to identify procedural and diagnostic coding:
- Describe how to use the most current procedural coding system
- Describe how to use the most current diagnostic coding classification system
- Describe how to use the most current HCPCS level II coding system
- Discuss the effects of
- Define medical necessity as it applies to procedural and diagnostic coding
- Perform procedural coding
- Perform diagnostic coding
- Utilize medical necessity guidelines
COMMON DEGREE OUTCOMES (CDO)
• Communication: The graduate can communicate effectively for the intended purpose and audience.
• Critical Thinking: The graduate can make informed decisions after analyzing information or evidence related to the issue.
• Global Literacy: The graduate can analyze human behavior or experiences through cultural, social, political, or economic perspectives.
• Information Literacy: The graduate can responsibly use information gathered from a variety of formats in order to complete a task.
• Quantitative Reasoning: The graduate can apply quantitative methods or evidence to solve problems or make judgments.
• Scientific Literacy: The graduate can produce or interpret scientific information presented in a variety of formats.
CDO marked YES apply to this course:
Critical Thinking: YES
Global Literacy: YES
Information Literacy: YES
Quantitative Reasoning: YES
Scientific Literacy: YES
COURSE CONTENT OUTLINE
- Bookkeeping terms
- Accounts receivable procedures
- Third party reimbursement procedures
- Procedural and diagnostic coding
Official Course Syllabus - Macomb Community College, 14500 E 12 Mile Road, Warren, MI 48088
Add to Favorites (opens a new window)