HIMT 1307 - Insurance Procedures Practicum

Credit hours: 3 (1 hour lecture, 4 hours practicum per week)

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 continue to teach students health insurance claim forms, insurance procedures and provide students a clinical practicum. The clinical practicum will either be simulated or in a healthcare facility.

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 procedures for filing claims, reimbursement, and follow-up.
understand how to maintain files and requirements from all payer types regarding proper code selection for reimbursement, compliance with documentation, confidentiality laws, audits and billing practices.