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Medical Billing and Coding
Health Science · Texas TEKS
| Strand | Standard ID | Standard Statement | Covered? | CLX Match List |
|---|---|---|---|---|
| 1. The Student Explores Career Opportunities In Revenue Cycle Management. The Student Is E... | 1.1.1 | identify professional opportunities within the medical billing and revenue cycle management professions | ✅ | • Medcerts : Medical Coder & Biller Certification Course : Insurance and Billing, and Coding Essentials (v24.7) HI1015 • Core-LX : All Lessons : Medical Billing: Claims Submission, Clearinghouses, and Electronic Remittance (pending) • Medcerts : Medical Coder & Biller Certification Course : Professionalism in Allied Health (v21.12) PS1011 • Medcerts : Professionalism in Allied Health (v21.12) PS1011 : Professionalism in Allied Health (v21.12) PS1011 |
| 1.1.2 | demonstrate ethical billing and coding practices as outlined by professional associations guidelines; | ✅ | • Medcerts : Medical Coder & Biller Certification Course : Insurance and Billing, and Coding Essentials (v24.7) HI1015 • Medcerts : Clinical Medical Assistant & Scribe Professional - HI 9800 : Medical Scribe Essentials (v21.12) HI6015 • Certify ED : Medical Assistant : Medical Assistant - Unit 40 - Legal Standards and Medication Safety | |
| 1.1.3 | investigate professional associations applicable to the field of health informatics such as American Academy of Professional Coders (AAPC), American Health Information Management Association (AHIMA), Healthcare Billing and Management Association (HBMA), and American Association of Healthcare Administrative Management (AAHAM) | ✅ | • Medcerts : Dental Assistant - DA 3000 : Infection Control in Dental Healthcare Settings (v24.3) DA3011 • Medcerts : Dental Assistant - DA 3000 : Infection Control in Dental Healthcare Settings (v24.3) DA3011 • Certify ED : Culinary Arts 2 : Culinary Arts 2 - Unit 12 - Professional Organizations and Regulations • Certify ED : Hospitality Management : Hospitality - Unit 01 - Hospitality Fundamentals | |
| 2. The Student Explains The Ethical And Legal Responsibilities Of Personnel In Medical Bil... | 2.1.1 | identify major administrative agencies that affect billing and coding such as Centers for Medicare and Medicaid Services (CMS) and the Office of the Inspector General (OIG) | ✅ | • Medcerts : Medical Coder & Biller Certification Course : Insurance and Billing, and Coding Essentials (v24.7) HI1015 • Medcerts : Medical Coder & Biller Certification Course : Pharmacy Technician Principles & Practices (v23.1) HI1017 • Medcerts : Medical Coder & Biller Certification Course : Medical Office Procedures & Administration (v23.3) HI1011 • Core-LX : All Lessons : Medical Billing: Claims Submission, Clearinghouses, and Electronic Remittance (pending) |
| 2.1.2 | identify major laws and regulations that impact health information, including HIPAA, the Stark Law, the Fair Debt Collection Practices Act, and the False Claims Act | ✅ | • Certify ED : Medical Assistant : Medical Assistant - Unit 38 - HIPAA and Patient Rights • Medcerts : Medical Coder & Biller Certification Course : Insurance and Billing, and Coding Essentials (v24.7) HI1015 • Medcerts : Medical Coder & Biller Certification Course : Pharmacy Technician Principles & Practices (v23.1) HI1017 • Medcerts : Clinical Medical Assistant & Scribe Professional - HI 9800 : Medical Scribe Essentials (v21.12) HI6015 • Core-LX : All Lessons : NCCI Edits and Medical Coding Compliance (pending) | |
| 2.1.3 | analyze legal and ethical issues related to medical billing and coding, revenue cycle management, and documentation within the medical record | ✅ | • Medcerts : Medical Coder & Biller Certification Course : Insurance and Billing, and Coding Essentials (v24.7) HI1015 • Core-LX : All Lessons : Medical Billing: Claims Submission, Clearinghouses, and Electronic Remittance (pending) • Core-LX : All Lessons : Medical Office Administration: Prior Authorization, Accounts Receivable, and Medical Transcription (pending) • Core-LX : All Lessons : NCCI Edits and Medical Coding Compliance (pending) | |
| 2.1.4 | research compliance laws | ✅ | • Medcerts : Medical Coder & Biller Certification Course : Pharmacy Technician Principles & Practices (v23.1) HI1017 • Medcerts : Medical Coder & Biller Certification Course : Medical Office Procedures & Administration (v23.3) HI1011 • Core-LX : All Lessons : NCCI Edits and Medical Coding Compliance (pending) • Medcerts : Clinical Medical Assistant & Scribe Professional - HI 9800 : Medical Scribe Essentials (v21.12) HI6015 | |
| 2.1.5 | identify appropriate documentation required for the release of patient information | ✅ | • Certify ED : Medical Assistant : Medical Assistant - Unit 38 - HIPAA and Patient Rights • MissionCIT : Emergency Medical Technician - MissionCIT : EMT CH 003: Medical Ethics • Core-LX : All Lessons : Electronic Health Records: Clinical Workflow and Documentation (pending) | |
| 2.1.6 | differentiate between informed and implied consent | ✅ | • MissionCIT : Emergency Medical Technician - MissionCIT : EMT CH 003: Medical Ethics • Certify ED : Emergency Medical Response (Video&VR) : Emergency Medical Response - Unit 03 - Ethics, Consent, and Legal Responsibilities • Certify ED : Emergency Medical Response (Video&VR) : Emergency Medical Response - Unit 03 - Ethics, Consent, and Legal Responsibilities | |
| 2.1.7 | compare and contrast use of information and disclosure of information; | ✅ | • Certify ED : Medical Assistant : Medical Assistant - Unit 38 - HIPAA and Patient Rights • MissionCIT : Emergency Medical Technician - MissionCIT : EMT CH 003: Medical Ethics • Medcerts : Clinical Medical Assistant & Scribe Professional - HI 9800 : Medical Scribe Essentials (v21.12) HI6015 | |
| 2.1.8 | evaluate cases for insurance fraud and abuse | ✅ | • Core-LX : All Lessons : NCCI Edits and Medical Coding Compliance (pending) • Medcerts : Medical Coder & Biller Certification Course : Insurance and Billing, and Coding Essentials (v24.7) HI1015 • Core-LX : All Lessons : Medical Billing: Claims Submission, Clearinghouses, and Electronic Remittance (pending) | |
| 3. The Student Identifies The Body Systems To Support Proficiency In Billing And Coding. T... | 3.1.1 | explain the sections and organizations of the International Classification of Diseases and Related Health Problems, 10th Revision, Clinical Modification (ICD-10-CM) and Current Procedural Terminology (CPT) coding manuals by identifying the anatomy and physiology of body systems and how they apply to medical billing and coding, including: | ✅ | • Medcerts : Medical Coder & Biller Certification Course : Insurance and Billing, and Coding Essentials (v24.7) HI1015 • Medcerts : Introduction to Human Anatomy & Medical Terminology (v22.10) HI1014 : Introduction to Human Anatomy & Medical Terminology (v22.10) HI1014 • Medcerts : Medical Coder & Biller Certification Course : Introduction to Human Anatomy & Medical Terminology (v22.10) HI1014 • Medcerts : Medical Coder & Biller Certification Course : Introduction to Human Anatomy & Medical Terminology (v22.10) HI1014 • Open Textbooks : Medical Terminology : Medical Terminology: 02. Medical Language Related to the Body as a Whole |
Coverage Summary
Core-LX delivers strong coverage of this TEKS course at 100% of sub-standards aligned.
Primary publishers contributing alignment: Medcerts (23), Core-LX (10), Certify ED (8), MissionCIT (3), Open Textbooks (1).
No open gaps. All sub-standards have at least one genuine Core-LX badge match.
Eligible for Gap Lesson / Gap Lab generation — coverage exceeds the 85% threshold; any remaining sub-standard gaps will be closed by auto-generated lessons in the next pipeline phase.
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