Course+Compentencies

**MOT 120 Medical Office Financial Management Course Compentencies**
1. List the basic steps of the health insurance claim process. 2. Describe your role in insurance claims processing. 3. Explain how payers set fees. 4. Define Medicare and Medicaid. 5. Discuss TRICARE and CHAMPVA health-care benefits programs. 6. Distinguish between HMOs and PPOs. 7. Explain how to manage a workers’ compensation case. 8. Apply rules related to coordination of benefits. <span style="font-family: 'Calibri','sans-serif'; mso-bidi-font-family: Calibri; mso-fareast-font-family: Calibri; msobidifontfamily: Calibri; msofareastfontfamily: Calibri; msolist: Ignore;">9. <span style="font-family: 'Calibri','sans-serif';">Describe the health-care claim preparation process. <span style="font-family: 'Calibri','sans-serif'; mso-bidi-font-family: Calibri; mso-fareast-font-family: Calibri; msobidifontfamily: Calibri; msofareastfontfamily: Calibri; msolist: Ignore;">10. <span style="font-family: 'Calibri','sans-serif';">Complete a Center’s for Medicare and Medicaid Service (CMS-1500) claim form. <span style="font-family: 'Calibri','sans-serif'; mso-bidi-font-family: Calibri; mso-fareast-font-family: Calibri; msobidifontfamily: Calibri; msofareastfontfamily: Calibri; msolist: Ignore;">11. <span style="font-family: 'Calibri','sans-serif';">Identify three ways to transmit electronic claims. <span style="font-family: 'Calibri','sans-serif'; mso-bidi-font-family: Calibri; mso-fareast-font-family: Calibri; msobidifontfamily: Calibri; msofareastfontfamily: Calibri; msolist: Ignore;">12. <span style="font-family: 'Calibri','sans-serif';">Explain the purpose and format of the ICD volumes that are used by medical offices. <span style="font-family: 'Calibri','sans-serif'; mso-bidi-font-family: Calibri; mso-fareast-font-family: Calibri; msobidifontfamily: Calibri; msofareastfontfamily: Calibri; msolist: Ignore;">13. <span style="font-family: 'Calibri','sans-serif';">Describe how to analyze diagnoses and locate correct codes using the ICD. <span style="font-family: 'Calibri','sans-serif'; mso-bidi-font-family: Calibri; mso-fareast-font-family: Calibri; msobidifontfamily: Calibri; msofareastfontfamily: Calibri; msolist: Ignore;">14. <span style="font-family: 'Calibri','sans-serif';">Identify the purpose and format of the CPT. <span style="font-family: 'Calibri','sans-serif'; mso-bidi-font-family: Calibri; mso-fareast-font-family: Calibri; msobidifontfamily: Calibri; msofareastfontfamily: Calibri; msolist: Ignore;">15. <span style="font-family: 'Calibri','sans-serif';">Name three key factors that determine the level of Evaluation and Management codes that are selected. <span style="font-family: 'Calibri','sans-serif'; mso-bidi-font-family: Calibri; mso-fareast-font-family: Calibri; msobidifontfamily: Calibri; msofareastfontfamily: Calibri; msolist: Ignore;">16. <span style="font-family: 'Calibri','sans-serif';">Identify the two types of codes in the Health Care Common Procedure Coding System (HCPCS). <span style="font-family: 'Calibri','sans-serif'; mso-bidi-font-family: Calibri; mso-fareast-font-family: Calibri; msobidifontfamily: Calibri; msofareastfontfamily: Calibri; msolist: Ignore;">17. <span style="font-family: 'Calibri','sans-serif';">Describe the process used to locate correct procedure codes using CPT. <span style="font-family: 'Calibri','sans-serif'; mso-bidi-font-family: Calibri; mso-fareast-font-family: Calibri; msobidifontfamily: Calibri; msofareastfontfamily: Calibri; msolist: Ignore;">18. <span style="font-family: 'Calibri','sans-serif';">Explain how medical coding affects the payment process. <span style="font-family: 'Calibri','sans-serif'; mso-bidi-font-family: Calibri; mso-fareast-font-family: Calibri; msobidifontfamily: Calibri; msofareastfontfamily: Calibri; msolist: Ignore;">19. <span style="font-family: 'Calibri','sans-serif';">Define fraud and provide examples of fraudulent billing and coding. <span style="font-family: 'Calibri','sans-serif'; mso-bidi-font-family: Calibri; mso-fareast-font-family: Calibri; msobidifontfamily: Calibri; msofareastfontfamily: Calibri; msolist: Ignore;">20. <span style="font-family: 'Calibri','sans-serif';">Discuss the importance of accounts receivable to a medical practice. <span style="font-family: 'Calibri','sans-serif'; mso-bidi-font-family: Calibri; mso-fareast-font-family: Calibri; msobidifontfamily: Calibri; msofareastfontfamily: Calibri; msolist: Ignore;">21. <span style="font-family: 'Calibri','sans-serif';">Explain how to accept and account for payment from patients. <span style="font-family: 'Calibri','sans-serif'; mso-bidi-font-family: Calibri; mso-fareast-font-family: Calibri; msobidifontfamily: Calibri; msofareastfontfamily: Calibri; msolist: Ignore;">22. <span style="font-family: 'Calibri','sans-serif';">Prepare an invoice. <span style="font-family: 'Calibri','sans-serif'; mso-bidi-font-family: Calibri; mso-fareast-font-family: Calibri; msobidifontfamily: Calibri; msofareastfontfamily: Calibri; msolist: Ignore;">23. <span style="font-family: 'Calibri','sans-serif';">Manage a billing cycle efficiently. <span style="font-family: 'Calibri','sans-serif'; mso-bidi-font-family: Calibri; mso-fareast-font-family: Calibri; msobidifontfamily: Calibri; msofareastfontfamily: Calibri; msolist: Ignore;">24. <span style="font-family: 'Calibri','sans-serif';">Describe standard collection techniques. <span style="font-family: 'Calibri','sans-serif'; mso-bidi-font-family: Calibri; mso-fareast-font-family: Calibri; msobidifontfamily: Calibri; msofareastfontfamily: Calibri; msolist: Ignore;">25. <span style="font-family: 'Calibri','sans-serif';">Explain how to perform a credit check. <span style="font-family: 'Calibri','sans-serif'; mso-bidi-font-family: Calibri; mso-fareast-font-family: Calibri; msobidifontfamily: Calibri; msofareastfontfamily: Calibri; msolist: Ignore;">26. <span style="font-family: 'Calibri','sans-serif';">Identify credit arrangements. <span style="font-family: 'Calibri','sans-serif'; mso-bidi-font-family: Calibri; mso-fareast-font-family: Calibri; msobidifontfamily: Calibri; msofareastfontfamily: Calibri; msolist: Ignore;">27. <span style="font-family: 'Calibri','sans-serif';">Recognize common collection problems. <span style="font-family: 'Calibri','sans-serif'; mso-bidi-font-family: Calibri; mso-fareast-font-family: Calibri; msobidifontfamily: Calibri; msofareastfontfamily: Calibri; msolist: Ignore;">28. <span style="font-family: 'Calibri','sans-serif';">Describe traditional bookkeeping systems including single entry and double entry. <span style="font-family: 'Calibri','sans-serif'; mso-bidi-font-family: Calibri; mso-fareast-font-family: Calibri; msobidifontfamily: Calibri; msofareastfontfamily: Calibri; msolist: Ignore;">29. <span style="font-family: 'Calibri','sans-serif';">Define a pegboard system. <span style="font-family: 'Calibri','sans-serif'; mso-bidi-font-family: Calibri; mso-fareast-font-family: Calibri; msobidifontfamily: Calibri; msofareastfontfamily: Calibri; msolist: Ignore;">30. <span style="font-family: 'Calibri','sans-serif';">Explain the benefits of performing bookkeeping tasks on the computer. <span style="font-family: 'Calibri','sans-serif'; mso-bidi-font-family: Calibri; mso-fareast-font-family: Calibri; msobidifontfamily: Calibri; msofareastfontfamily: Calibri; msolist: Ignore;">31. <span style="font-family: 'Calibri','sans-serif';">List banking tasks in a medical office. <span style="font-family: 'Calibri','sans-serif'; mso-bidi-font-family: Calibri; mso-fareast-font-family: Calibri; msobidifontfamily: Calibri; msofareastfontfamily: Calibri; msolist: Ignore;">32. <span style="font-family: 'Calibri','sans-serif';">Describe the logistics of accepting, endorsing, and depositing checks from patients and insurance companies. <span style="font-family: 'Calibri','sans-serif'; mso-bidi-font-family: Calibri; mso-fareast-font-family: Calibri; msobidifontfamily: Calibri; msofareastfontfamily: Calibri; msolist: Ignore;">33. <span style="font-family: 'Calibri','sans-serif';">Reconcile the office’s bank statements. <span style="font-family: 'Calibri','sans-serif'; mso-bidi-font-family: Calibri; mso-fareast-font-family: Calibri; msobidifontfamily: Calibri; msofareastfontfamily: Calibri; msolist: Ignore;">34. <span style="font-family: 'Calibri','sans-serif';">Give several examples of disbursements. <span style="font-family: 'Calibri','sans-serif'; mso-bidi-font-family: Calibri; mso-fareast-font-family: Calibri; msobidifontfamily: Calibri; msofareastfontfamily: Calibri; msolist: Ignore;">35. <span style="font-family: 'Calibri','sans-serif';">Record disbursements in a disbursement journal. <span style="font-family: 'Calibri','sans-serif'; mso-bidi-font-family: Calibri; mso-fareast-font-family: Calibri; msobidifontfamily: Calibri; msofareastfontfamily: Calibri; msolist: Ignore;">36. <span style="font-family: 'Calibri','sans-serif';">Set up and maintain a petty cash fund.
 * __<span style="font-family: 'Calibri','sans-serif'; letter-spacing: -0.15pt; mso-bidi-font-family: Arial;">COURSE COMPETENCIES __****<span style="font-family: 'Calibri','sans-serif'; letter-spacing: -0.15pt; mso-bidi-font-family: Arial;">: **<span style="font-family: 'Calibri','sans-serif'; letter-spacing: -0.15pt; mso-bidi-font-family: Arial;">