HIM 110 - Medical Billing and Insurance

Formerly AHP 110

Course Description: This course is designed to develop knowledge of various health insurance policies and plans. The student will become proficient in health insurance terminology and concepts. Managed Care models, as well as government, state, and commercial insurance will be compared and contrasted. The course will also cover worker’s compensation, disability, and liability insurance. Reimbursement calculations for DRG, capitation, fee for service, risk accounts, Medicare and Medicaid, and private insurance will be examined. The course will examine all components of the Revenue Cycle; the billing process, claim adjudication, managing insurance and patient account receivable and collection activity
Prerequisite(s): Completion of HIM 106 and HIM 107.
Note(s): N/A

Course Student Learning Outcomes:
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