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MIS 100 - Intro Medical Insurance


Credits: 4
3 Lecture Hours 3 Lab Hours

Description
This course is designed to introduce the students to the medical insurance billing profession. Emphasis is placed on the knowledge and skills essential for completing insurance claim forms in the health care setting. Attention is also focused on the various medical insurance plans offered by today's health care payers. This course requires a per credit health career fee; check the tuition and fee schedule for the current rate.
Learning Outcomes
Upon successful completion of the course, the student will:

  1. Outline and describe the roles and responsibilities of the Medical Insurance Specialist.
  2. Define medical insurance terms and describe the development of the medical insurance industry.
  3. Differentiate between diagnostic and procedural coding and their relationship to insurance claims.
  4. Prepare accurate and complete insurance claim forms according to current insurance guidelines.
  5. Explain electronic claims submission and its importance in today's insurance environment.
  6. Collect data from patient charts and distinguish between primary and secondary insurance plans.
  7. Identify, describe and explain the important federal, state and private medical insurance plans.
Listed Topics
  1. Medical insurance/billing profession
  2. Medical insurance terminology
  3. Introduction to coding systems
  4. Insurance claim forms
  5. Medical insurance plans
Reference Materials
Textbooks, workbooks, software packages, case studies, etc.
Approved By: Flores, Roy Date Approved: 05/13/2002


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