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Apr 19, 2024
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HIMT 1306 - Medical Insurance Billing
Credit hours: 3
Prerequisites: Pre- and corequisites should be defined by individual institutions and must be courses from General Education Requirements - Core and Major Field Core Courses.
Course Description:
This course is designed to teach students legal issues affecting insurance claims and medical records, how to complete insurance claim forms and the basics of health insurance, electronic data interchange, tracing delinquent claims and insurance problem solving, collections strategies, health care payers including managed care systems, private insurance, Medicare, state programs, workers’ comp, Tricare and CHAMPVA, and disability.
Student Learning Outcomes:
Students will be able to:
- accurately file insurance claims for reimbursement for the physician office or healthcare facility.
- accurately manage administrative procedures for claims follow-up.
- understand how to work with third party payers, Medicare, Medicaid/TennCare and other federal insurance payers regarding policies and procedure for filing claims, reimbursement and follow-up.
- understand how to maintain files and requirements from all payer types regarding proper coder selection for reimbursement, compliance with documentation, confidentiality laws, audits and billing practices.
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