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General Information

Course ID (CB01A and CB01B)
HTEC D101D
Course Title (CB02)
Skill Building in Medical Office Financial Procedures
Course Credit Status
Credit - Degree Applicable
Effective Term
Fall 2024
Course Description
This course focuses on the development of speed and accuracy in skills learned in the medical office financial procedures course; skills include determining ICD-10 and CPT codes, and completing various types of insurance forms.
Faculty Requirements
Discipline 1
[Health Care Ancillaries (Medical assisting, hospice worker, home care aide, certified nurse aide, health aide, ward clerk, central service technology, childbirth educator, primary care associate, massage therapy)]
FSA
[FHDA FSA - HEALTH CARE SERVICES]
Course Family
Not Applicable

Course Justification

This course is part of a CTE program. It was developed based on the California Certifying Board for Medical Assistant's Accreditation Standards required for Health Technology training programs. This course belongs on the Medical Secretary Certificate of Achievement-Advanced. This course trains the students to determine ICD-10 and CPT codes used in medical office and demonstrate various steps in preparing insurance claim forms.

Foothill Equivalency

Does the course have a Foothill equivalent?
No
Foothill Course ID

Course Philosophy

Formerly Statement

Course Development Options

Basic Skill Status (CB08)
Course is not a basic skills course.
Grade Options
  • Pass/No Pass
Repeat Limit
0

Transferability & Gen. Ed. Options

Transferability
Not transferable

Units and Hours

Summary

Minimum Credit Units
1.0
Maximum Credit Units
1.0

Weekly Student Hours

TypeIn ClassOut of Class
Lecture Hours0.00.0
Laboratory Hours3.00.0

Course Student Hours

Course Duration (Weeks)
12.0
Hours per unit divisor
36.0
Course In-Class (Contact) Hours
Lecture
0.0
Laboratory
36.0
Total
36.0
Course Out-of-Class Hours
Lecture
0.0
Laboratory
0.0
NA
0.0
Total
0.0

Prerequisite(s)

Corequisite(s)

HTEC D072.

Advisory(ies)

Limitation(s) on Enrollment

Entrance Skill(s)

General Course Statement(s)

Methods of Instruction

Laboratory and visual aids

Discussion of assigned reading

Laboratory problem solving performed in class

Quiz review performed in class

Laboratory quizzes that evaluate the weekly exercises

Laboratory experience which involves students in formal exercises

Assignments

  1. Reading:
    1. Required readings from the required laboratory text, student mastery manual and supplemental sources
    2. Assignments from laboratory text and supplemental sources in preparation for analysis
  2. Writing:
    1. Assignments from student laboratory manual including key terminology assessment, evaluation of performance, clinical thinking, and crossword puzzles
    2. Complete laboratory worksheets that include observations, results and critical analysis.
    3. Document laboratory procedures as outlined in the evaluation of competency.

Methods of Evaluation

  1. Quizzes-Objective/subjective quizzes that test comprehension laboratory course material on a routine basis and help identify areas that may need extra attention
  2. Lab Activity-Practice and demonstration of techniques in the student laboratory designed to demonstrate critical thinking kills and to problem solve as required in the assignments and experimental investigations.
  3. Comprehensive Practical Examination-Requires students to demonstrate abilities to summarize, integrate, and analyze concepts that have been introduced and studied throughout the laboratory course

Essential Student Materials/Essential College Facilities

Essential Student Materials: 
  • None
Essential College Facilities:
  • None

Examples of Primary Texts and References

AuthorTitlePublisherDate/EditionISBN
Green, Michelle A."Understanding Health Insurance: A Guide to Billing and Reimbursement"Cengage Learning2023, 18th Edition
American Medical Association"International Classification of Diseases" (ICD-10)Optum Publishing Co.2023
American Medical AssociationCurrent Procedural Coding (CPT)American Medical Association2023

Examples of Supporting Texts and References

None.

Learning Outcomes and Objectives

Course Objectives

  • Demonstrate billing and collection procedures
  • Demonstrate the various steps in preparing insurance claims forms
  • Determine the ICD-10 and CPT codes used in medical office

CSLOs

  • Demonstrate billing and collection procedures and the various steps in preparing insurance claim forms.

  • Illustrate the ICD-10 and CPT codes used in medical office.

Outline

  1. Demonstrate billing and collection procedures
    1. Prepare patient's monthly statements
    2. Calculate a collection ratio and an accounts receivable ratio
    3. Prepare an age analysis of accounts receivable
    4. Demonstrate proceedings to collect delinquent accounts
    5. Demonstrate telephone collection techniques
    6. Calculate the billing for patients whose insurance includes deductibles and copayments or co-insurance
  2. Demonstrate the various steps in preparing insurance claims forms
    1. Demonstrate obtaining authorizations and referrals
    2. Identify and complete insurance forms for patients covered by Medicare, CHAMPUS, Worker's compensation, and Blue Cross and Blue Shield
    3. Demonstrate maintenance of an insurance claims register
    4. Describe how to trace unpaid claims
  3. Determine the ICD-10 and CPT codes used in medical office
    1. Determine ICD-10 codes that include diseases, conditions, accidents, injuries, poisonings, and all other diagnoses
    2. Determine CPT codes in various categories
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