Medical Billing Certificate

School: Health Careers, Technology and Applied Learning
Academic Dept: Allied Health Careers
HEGIS: 5213.00

Important Note about Program Requirements

The requirements listed below are for students entering into this program from Fall 2022 to Summer 2023. Students who entered the program during a prior semester will find their specific requirements listed in the Catalog under which they entered. Archived Catalogs are accessible through the dropdown menu above.

Program Description

This certificate program in Medical Billing leads to credentialing as a Certified Professional Biller (CPB) through the American Academy of Professional Coders (AAPC). The program provides exposure to terminology, rules and regulations that apply to the healthcare industry. Students gain a comprehensive understanding of various insurance plans, the use of International Statistical Classification of Diseases, 10th revision (ICD-10-CM) coding guidelines and Current Procedural Terminology (CPT-4). Emphasis is placed on billing processes and procedures for filing, tracking claims and resolution of claim denials. Graduates are eligible to take the Certified Professional Biller Examination (CPB). The program can be taken alone to achieve the certificate or as a stackable credential with Medical Coding Certificate.

Note: Students must demonstrate eligibility to enroll in ENG 101 - Writing and Research.

Program Learning Outcomes

Upon completion of this program, students will be able to:

Demonstrate knowledge of policies and procedures pertaining to healthcare reimbursement including: third party payers, payment and reimbursement methodologies and Charge Description Master (CDM).
Apply healthcare terminology to the processing of medical billing documents.
Apply billing concepts and principles to the practice of health information management including Local Coverage Determinations (LCD), and National Coverage Determinations (NCD), in compliance with reimbursement regulations.
Describe the concepts and structures of various types of prospective payment systems and apply the rules of each prospective system to the appropriate healthcare setting.
Apply the concept of medical necessity to insurance claims.
Understand CPT, ICD-10-CM, and HCPCS Level 2 coding guidelines.

Program Map

The academic map below presents the recommended plan of study and will guide you through your program in a timely manner. Click the course abbreviations for full course descriptions. A course may be critical because it is a pre-requisite, requires a minimum grade, or because it is only offered once a year. Missing a critical course may push back your graduation date. Meet with an Academic Counselor or Faculty Advisor to ensure you are on track to complete your program.

Critical Courses should be taken in the order shown to stay on track and graduate on time.

Semester 1

Course (click for more information)	Critical Course	Pre-reqs or Co-reqs	Credits	Notes
ENG 101	✔	✔	3
BTECH 230	✔		3
HCTAL 101	✔		3
HIT 120	✔	✔	3
Semester Total Credits			12

Semester 2

Course (click for more information)	Critical Course	Pre-reqs or Co-reqs	Credits	Notes
HIT 210	✔	✔	3
HIT 140	✔	✔	3
HIT 150	✔	✔	3
HIT 220	✔	✔	3
Semester Total Credits			12

Minimum Total Credits: 24

Gainful Employment Disclosure

For information about graduation rates, the median debt of students who have completed this program, and other important information please visit Medical Billing Certificate - GE Disclosure. For an overview of all gainful employment disclosures at Westchester Community College, visit www.sunywcc.edu/gainfulemployment.

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