Diplom a Program (Revised 8-2013)
The Medical Billing and Coding Specialist (MBCS) program is presented over a period of 12 months/48 weeks. This period is divided into four(4) 12-week quarters. Enrollment into the MBCS program is available two (2) times per year, April and October.
The schedule is Monday through Thursday from 8 a.m. to 5 p.m. Externship time may be scheduled any day of the week or weekend, and at any time of the day depending the availability of the externship site. Externship consists of 160 hours served in a medical facility. The total academic credits required to complete the MBCS program is 76.
Upon completion of the MBCS program, providing all requirements for graduation are met, the student will receive a diploma at graduation. The graduate will be qualified to process a variety of insurance forms in medical offices, clinics, and hospital billing departments, basic computer operation and general office duties. Transferability of credits to other institutions is at the discretion of the receiving institution and PSI makes no guarantees of transferability. The school will assist the graduate in every way possible in finding employment. This is not a guarantee of employment or of a minimum starting salary.
O*Net: Occupational Information Network is established by the Department of Labor to assist students with information regarding their chosen program. Each program is given an O*Net-SOC code. The code for the MBCS program is 29-2071.00. Students should use the following web address to access this information from the Department of Labor.
www.onetonline.org/link/summary/29-2071.00.
Curriculum Requirements Quarter Clock Hours
Credit Hours
101-M Medical Law & Ethics 3.0 30.0
102-M Medical Terminology I 6.0 60.0
103-M Keyboarding 3.5 50.0
104-M Office Communications 3.0 30.0
105-M Medical Office Procedures 4.0 50.0
106-M Medical Insurance I 2.5 50.0
108-M Fundamentals of Psychology 3.0 30.0
112-M Transcription I 4.0 60.0
116-M Medical Terminology II 6.0 60.0
118-M Medical Insurance II 5.0 60.0
119-M MBCS Externship 5.0 160.0
135-M Anatomy & Physiology I 6.0 60.0
136-M Anatomy & Physiology II 6.0 60.0
152-M Job Readiness 3.0 30.0
153-M Medical Insurance III 5.0 60.0
154-M Computer Applications 5.0 60.0
155-M Disease/Pharmacology 6.0 60.0
Total 76.0 950.0
T ra n sfe r cre dit m a y be give n from oth e r a ccre dite d college s, if th e cou rse con te n t m e e ts PS I’s cu rricu lu m re qu ire m e n ts. T h e stu de n t w ill ne e d to su bm it a n o fficia l tra n s crip t fo r cre d it tra n s fe r e v a lu a tio n . T ra n s fe r cre d its a re a p p ro ve d b y th e D ire cto r o f E d u c a tio n w ith in p u t fro m th e G e n e r a l E d u c a tio n C o o r d in a t o r . R e f e r t o t h e T ra n s fe r o f C r e d it s e c t io n in t h is c a t a lo g fo r c o u r s e s t h a t m a y b e t r a n s fe r r e d .
E xte rn sh ip /C lin ica l N ote : S tu d en ts d o n ot re ce ive re m u n e ra tion for th e clin ica l e xp erie n ce , a s th is is a pa rt of th e ir e du ca tion a l e xp erie n ce . T h e stu d en t ca n not b e u se d in pla ce of a sta ff m e m b er a t a n y e xte rn sh ip site .
N o te : PS I re se rve s th e rig h t to a dd , ch a ng e, or d ele te cla sse s, a n d/or oth e r g ra du a tion re qu ire m e n ts for a n y p rog ra m b ase d u pon n e w ly a dop te d re qu ire m e n ts of ou r a ccre ditin g b od ie s, a n d/or e ve r-ch a ng in g tre n ds or re qu ire m e n ts w ith in a ch ose n profe ssion .
M EDICAL BILLING AND COD ING SPECIALIST Curriculum Sequence
(Revised 08-14-2013)
The curriculum is presented in the following sequence to guide the student through the program, so that the student will experience an ever-increasing degree of expected terminal performance objectives.
Freshman –Quarter 1 18.0 Possible Quarter Credits
102-M Medical Terminology I 6.0
103-M Keyboarding 3.5
106-M Medical Insurance I 2.5
135-M Anatomy & Physiology I 6.0
Sophomore --Quarter 2 24.0 Possible Quarter Credits
104-M Office Communications 3.0
105-M Medical Office Procedures 4.0
116-M Medical Terminology II 6.0
118-M Medical Insurance II 5.0
136-M Anatomy & Physiology II 6.0
Junior --Quarter 3 23.0 Possible Quarter Credits
101-M Medical Law and Ethics 3.0
112-M Transcription I 4.0
153-M Medical Insurance III 5.0
154-M Computer Applications 5.0
155-M Disease/Pharmacology 6.0
CPR
Senior --Quarter 4 11.0 Possible Quarter Credits
108-M Fundamentals of Psychology 3.0
119-M MBCS Externship 5.0
152-M Job Readiness 3.0
Total 76.0 Quarter Credit Hours
All courses must be completed with a minimum final grade average of 77% and if applicable successful passage of each competency test with a minimum score of 77%.
Competencies are mandatory tests that must be passed with a minimum score of 77%. Each student will be given the opportunity at two (2) attempts to pass the competency test. If the competency test is not passed on the second attempt the student will automatically fail the entire course. If the student fails to show for the scheduled first or second attempt at the competency and with no communication with the instructor, the student fails the competency and must repeat the entire course.
For a course that has both a lecture component and a competency or competencies; each component must be passed separately with a minimum of a 77 percent to pass the lecture component of the course and a satisfactory grade for the competency component. If the student does not pass both components the entire course is failed and the course will be repeated in its entirety the next time it is offered.
M BCS Clerical Skills
Goals and O bjectives for the M BCS Program
• Basic Computer, Keyboarding and Word processing skills. (MS Word, Excel, Power Point)
• Computer skills in setting up insurance company information, entering patient information, scheduling appointments, entering patients charges, payments and adjustments, creating receipts, billing and creating reports such as
daysheets and aging reports.
• Proper use of ICD-9-CM (ICD-10-CM) and CPT insurance coding books.
• Correct preparation of the insurance forms.
CMS 1500 Medicaid/Health Check Medicare
Workers’ Compensation Blue Cross/Blue Shield HMOs ( Health Maintenance Organization) PPOs (Preferred Provider Organization)
• Pegboard accounting which includes the following:
Recording of patient charges, adjustments and payments on the daysheet.
Balancing the daysheets and maintaining accurate accounts receivable balances.
Payroll and business check disbursements.
Proper use of both receipts and superbills.
• Proper telephone answering techniques, appointment scheduling, and filing.
• Business letter preparation: Block, Modified block letters and USPS style envelopes.
• Professional conduct, appearance and medical ethics.
• HIPPA Regulations
• Use of www, internet, and email.
• Collection procedure:
Billing Handling bankruptcy accounts Handling payment plans
PSI program goals for the MBCS program:
• To provide a MBCS program that will enable graduates to be qualified to process a variety of insurance forms in a medical office, clinic, DME, or hospital setting as well as be able to manage accounts payable and accounts receivable in either a manual or computerized format.
• To provide a curriculum based on current information regarding medical insurance and billing in a health related facility.
• To provide a positive learning environment and instruction which keeps current with the demands of the profession.
• To encourage the participation in continuing educations courses, workshops, and seminars to keep updated in the profession as well as working to advance the level of professional achievement to a higher degree if desired.
• To provide guidelines on patient confidentiality as stated in the HIPAA guidelines when reviewing all patient records and dealing with patients one-on-one.
Graduates of the MBCS program will be able to:
• Assist patients and their families with completing and understanding insurance forms, billing, payments and denials while demonstrating confidentiality in regard to the patients’ personal information.
• Demonstrate both written and verbal communication skills enabling effective communicate with patients, coworkers and employers.
• Maintain patient confidentiality as stated in the HIPAA guidelines when reviewing all patient records and dealing with patients on a one-to-one basis.
• Understand the importance and adhere to the guidelines of professional conduct, appearance and ethics of the medical profession.
• Demonstrate adaptability and cultural respect when associating with patients, coworkers, and insurance companies.
• Demonstrate proficiency as a medical billing and coding specialist by passing certification examination CMBS, if required by the employer or desired by the individual.