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ADMM2154 – Hospital Billing pdf

Credits: 2 (1/1/0)
Description: This course covers billing processes related to the hospital claim form. Billing for inpatient, ambulatory surgery and hospital-based outpatient services is covered.
Prerequisites: ADMM1150
OR
ADMM1152
Corequisites: (None)
Competencies:
  1. Demonstrate health insurance terminology proficiency.
  2. Compare and contrast inpatient and outpatient services.
  3. Explain major steps of hospital claims processing.
  4. Explain the insurance requirements for the CMS-1500 claim form.
  5. Explain revenue codes and descriptions.
  6. Review inpatient coding guidelines.
  7. Explain DRG (Diagnosis-Related Groups) in reference to the claim form.
  8. Access and apply electronic payable lists from various payers.
  9. Utilize computer technology.
  10. Display professional work habits.
MnTC goal areas: (N/A)

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