Medical Records Billing and Coding
Today's healthcare professional needs a working knowledge of the business side of medicine; specifically medical record documentation, coding and billing. Non-compliance with rules and regulations on medical record documentation can result in refunds to health insurers, civil penalties, criminal proceedings, and/or exclusion from federal health care programs. Poor medical record documentation also puts patients at risk. This course will provide students with an in-depth knowledge of the legal role of the medical record, specifically in the context of obligations for the organization of the medical record and its support for reimbursement of services. Medical records must meet all State and federal legal, regulatory and accreditation requirements along with the Medicare Conditions of Participation at 42 CFR ยง482.24. Upon completion of this course, the student will have an understanding of the components of the medical record, the types of coding used by different providers, the methods of reimbursement based upon the provider type and risks associated with non-compliance.