Course

Course Summary
Credit Type:
Course
ACE ID:
ECHA-0068
Organization's ID:
MA145
Location:
Classroom-based
Length:
12 weeks (36 hours)
Dates Offered:
Credit Recommendation & Competencies
Level Credits (SH) Subject
Vocational-Certificate 2 Medical Billing
Description

Objective:

To develop knowledge and understanding of health insurance and the ability to process claims.

Learning Outcomes:

  • Understand how the health insurance industry works
  • Know the step-by-step procedures for generating, processing, and submitting health insurance claims to commercial, private, and governmental health insurance programs
  • Recognize the diagnosis and procedure coding systems

General Topics:

  • Health insurance, managed health care, development of an insurance claim, legal and regulatory issues, coding guidelines, CMS (Center for Medicare and Medicaid Services) reimbursement methodologies, CMS-1500 claim instruction, commercial insurance, Blue Cross Blue Shield, Medicare/Medicaid, and workers compensation
Instruction & Assessment

Instructional Strategies:

  • Audio Visual Materials
  • Classroom Exercise
  • Lectures
  • Practical Exercises

Methods of Assessment:

  • Examinations
Supplemental Materials