Medical Coding & Insurance Processing

COURSE SYLLABUS

Course Code:

HEA 190

Instructor:

Cynthia Clinkscales, MA, CBCS

Phone: (864) 369-1706

E-mail: cynthiaclinkscales@forrestcollege.edu

            cynthia3@bellsouth.net

Credit Hours:

3.0 credit hours earned upon successful completion of the course.

Course Schedule:

This course meets in room 102 on Tuesdays and Thursdays from 10:15 am to 11:37 am Starting July 1, 2008 to September 13, 2008.

Text:

Insurance Handbook for the Medical Office! By Marilyn T. Fordney, CMA-AC, Saunders Elsevier, Copyright 2008 ISBN: 978-1-4160-3666-1

Workbook to Accompany Insurance Handbook for the Medical Office! By Marilyn T. Fordney, CMA-AC, Saunders Elsevier, Copyright 2008  ISBN: 978-1-4160-3666-0

Course Description:

Provides an introduction to statutory and regulatory guidelines for the medical office.  Prepares student for insurance claim processing.  Introduces student to CPT and ICD-9 coding for physician’s office.

Course Objectives:

Note:  You may expect that questions on your tests/exams will be based upon demonstrating your knowledge of the following course objectives.

Upon successful completion of this course, the student will be able to:

  • Differentiate between a CPT and ICD-9 code.
  • Differentiate between a PPO and HMO insurance plan.
  • Understand what a co-pay and premium are.

Prerequisite:

HEA 110, HEA150, HEA160, HEA165, or permission of instructor

Course Outline:

Note: Instructor reserves the right to modify the outline as the need of the class dictate.

Week One:      Introduction/ Chapter 1 & 2

Week Two:      Chapters 2 & 3

Week Three:   Chapters 3 & 4

Week Four:     Chapter 5, Test on Chapters 2-4

Week Five:      Chapter 6

Week Six:       Chapters 7 & 8 Test on Chapters 5-6

Week Seven: Chapter 11 Test on Chapters 7-8

Week Eight:    Chapter 12

Week Nine:     Chapter 13

Week Ten:      Chapter 17, Test on Chapters 12-13

Week Eleven: Review for exam

                        Final Exam

Instruction Method:

A variety of instruction techniques will be used in this course.  These practices include (but are not limited to) class lecture; small group work; discussion; group projects; out-of-class assignments; individual assignments; electronically based research; expected e-mail communications, etc.

Grading: 

ATTENDANCE: (being physically present in class) ............................................... 10%

(This means 1 point for each week you physically attend class)

QUIZZES: ................................................................................................................. 30%

PROJECT: ............................................................................................................... 20%

FINAL EXAM: ........................................................................................................... 40%

TOTAL: ................................................................................................................... 100%

*Missed Tests: If you miss a test you must schedule to take the test within one week of having missed it or you will not be eligible to take the test at all.

Grading Scale:                            A  =  90-100

                                                    B  =  80-89

                                                    C  =  70-79

                                                    D  =  60-69

                                                    F  =  Below 60

Make-up Work:

 It is your responsibility to see the instructor to schedule any missed work. *Missed quiz:  If you miss a quiz, you must schedule to take the test within one week of having missed it or you will not be eligible to take the test at all.

Attendance:

Regular attendance is expected because it is through regular attendance that you will hear and learn from the experience of your instructor as well as from the input (questions, answers, discussions, concerns) of others of the members of your class.  You attend ten weeks and you receive a very positive 10% of your grade.  You must be in attendance for your scheduled test dates. 

Prompt and regular attendance for the full class is expected at all times. If you are to be late, please notify the instructor at (864) 369-1706. If you are to be absent, notify the instructor and attendance clerk.

Academic Dishonesty

Plagiarism and cheating are serious offenses and may be punished by failure on exam, or homework or failure of the course, and/or suspension /expulsion from the college.

Resources

The College has adequate resources to assist students in researching projects (i.e. books, magazines, newspapers, Internet, LIRN).

Changes

In accordance with the policy of the College, your instructor has the right to change the syllabus in a manner that he/she feels necessary in order to better accomplish the goal(s) of this course.

Additional Notes:

Class assignments will be announced by instructor.

Due to possible time constraints, this syllabus may be subject to change!