Description: Explore insurance verification, eligibility and billing for Medicare, Medicaid and commercial insurance covered medical services. Class work activities will simulate procedures that are used by hospitals and other health care providers.
Prerequisites:
Topics Covered: > Patient registration in the physician's office. > Claim forms completion. > Medicare guidelines. > Secondary payer billing. > Billing Commercial Insurance. > Local Medicare Review Policies.
Learning Outcomes: Given case studies, participants will complete medical insurance claims for that case with 100% accuracy. Participants will access the Website of an assigned insurance company and state two guidelines that would affect claims processing to the payor.
Comments: Required Textbook is Medical Insurance "An Integrated Claims Process Approach" the Workbook to accompany the text ISBN 9780073402109
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