Insurance & Reimbursement Processing

This course covers the principles and practice of health insurance billing and reimbursement.  Students will learn what impact managed care and state and federal regulations have on health insurance billing.  Guidelines for completing claims for inpatient, outpatient, emergency department, and physician office encounters using the appropriate forms will be covered.  Students will learn about claims submission using Electronic Date Interchange (EDI).  Simulations, real world examples and review exercises will give students the opportunity to apply learned material.  (Fall and Spring Semesters)