Description
Specialized Insurance Claims
Identifies in-depth insurance knowledge following the healthcare revenue cycle. Explore healthcare law. Investigate private payers, Medicare, Medicaid, TRICARE, CHAMPVA, worker's compensation, and disability insurance. Knowledge of deductibles, coinsurance, copayments, exclusions, medical necessity, referrals, prior authorization, coordination of benefits, COBRA, Charity Care, collections, pre-existing periods, allowed amounts, malpractice, outpatient benefits, and lifetime maximums. Intermediate diagnostic, procedural, and HCPCS coding. Claims reimbursement methods, contractual allowances, fee schedules, and other rules to facilitate timely payment of claims.
Details
Grading Basis
Official
Units
2
Offering
Course
MEDADMIN 10160177
Academic Group
Associate Degree
Academic Organization
Business Technology
Enrollment Requirements
Medial Administrative Procedures,10106165