MIS 100 - Intro Medical Insurance

Credits: 4
3 Lecture Hours 3 Lab Hours

Prerequisites: Acceptance into the Medical Insurance Specialist program

Description
This course is designed to introduce students to the medical insurance billing profession. Emphasis is placed on the knowledge and skills essential for completing insurance claim forms in the healthcare setting. Students focus attention on the various medical insurance plans offered by today’s healthcare 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:

Describe the roles and responsibilities of the Medical Insurance Specialist.
Define medical insurance terms.
Describe the development of the medical insurance industry.
Differentiate between diagnostic and procedural coding and their relationship to insurance claims.
Prepare accurate and complete insurance claim forms according to current insurance guidelines.
Explain electronic claims submission and its importance in today’s insurance environment.
Collect data from patient charts and distinguish between primary and secondary insurance plans.

Listed Topics

Medical insurance/billing profession
Medical insurance terminology
Introduction to coding systems
Insurance claim forms
Medical insurance plans

Reference Materials
Textbooks, workbooks, software packages, case studies, etc.

Students who successfully complete this course acquire general knowledge, skills and abilities that align with CCAC’s definition of an educated person. Specifically, this course fulfills these General Education Goals:

Technological Competence

Approved By: Dr. Quintin B. Bullock Date Approved: 05/14/2025
Last Reviewed: 05/14/2025

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