Course Name: Record Keeping
Catalog Course # CAT10 (partial 4-hour course)
Description
This course provides students with the fundamentals of medical record keeping and setting up a patient file. It explains the purpose of documentation and the techniques required for daily chart notes. Students will learn the basics of insurance billing, terminology and the skills necessary to perform an insurance benefit verification as well as assist their doctor with documentation of a medical necessity/appeal letter.
This 4-hour course is broken into 1-hour sections. All lesson quizzes are multiple choice. There are 16 possible points for this course. Each quiz consists of 4 questions designed to test knowledge of the lesson, objectives, and section goals. Students must successfully answer 3 of the 4 questions correctly to receive a completion for that individual section. Students must attain an overall score of 12 out of 16 which is equivalent to 75% or better to pass the course. Students will be allowed to retake each section quiz after re-studying the course material for a minimum of 5 minutes. Each section has a multiple-choice test, there are 16 possible points for this course.
Learning Objectives
1. Learn how to properly document daily treatments
2. Utilize proper techniques for documentation in a patient file
3. Identify what patient information is needed to set up a complete patient file
4. Perform an insurance verification.
5. Gain an understanding of basic of insurance billing terminology and electronic billing
6. Identify the components of a medical necessity / appeal letter
Approvals
AZBCE Approval #18-CAN-0010