ADMM2154 - Hospital Billing

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.