Axia College/College of Natural Sciences
HCR/220 Version 4
Claims Preparation I: Clean Bills of Health
Copyright © 2013, 2009, 2008 by University of Phoenix. All rights reserved.
Medical records processing revolves around insurance and reimbursement. This course focuses on the background, knowledge, and skills related to basic billing duties, HIPAA regulations, patient encounters, and the preparation, compliance, and transmission of claims. Students are introduced to the current state and future direction of the major diagnostic and procedural coding systems.
Valerius, J., Bayes, N., Newby, C., & Seggern, J. (2008). Medical insurance: An integrated claims process approach (3rd ed.). Boston, MA: McGraw-Hill.
Week One: Introduction to the Medical Billing Process
1.1 Compare and contrast features of various health plans.
1.2 Explain capitation and fee-for-service payment methods.
1.3 Explain the basic steps in the medical billing process.
Read the course description and objectives.
Read the instructor’s biography and post your own.
Read Appendix A.
Read Ch. 1 of Medical Insurance: An Integrated Claims Process Approach.
Payment Methods Presentation
Resources: Appendix B and Microsoft® Help at http://support.microsoft.com/
Create a 4- to 5-slide PowerPoint® presentation in which you describe, in your own words, the fee-for-service and capitation payment cycles. Include the relationship among provider, patient, and payer in your presentation, and their roles in the process.
Include an introduction and conclusion slide in your presentation.
Provide detailed speaker notes to accompany your presentation.
Provide APA-formatted references.
Refer to the Microsoft® Help link for assistance with questions related to PowerPoint®.
Steps in the Medical Billing