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Apr 19, 2024
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HCMT 2350 - Insurance & Reimbursement
Credit hours: 3
Prerequisites: HCMT 2305 - Healthcare Delivery Systems and HCMT 2315 - Medical Legal Issues with a grade of “C” or higher.
Course Description:
A study of insurance billing procedures. Topics include instruction for completing pertinent forms for third-party payers. Reimbursement methods for billing and reporting are discussed.
Student Learning Outcomes:
The successful learner will be able to:
- Identify and explain terminology related to medical insurance and reimbursement.
- Apply reimbursement methods for billing or reporting.
- Evaluate payer remittance or payment reports for reimbursement and/or denials.
- Apply the global surgical package concept to surgical procedures.
- Verify that the data on the insurance claim form correctly reflects the services provided.
- Validate the accuracy of the required data elements on the insurance claim.
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