AMA 127 Medical Insurance and Reimbursement

This course focuses on medical insurance terminology and processes for billing a variety of insurance types. They learn specifics of Medicaid, Medicare, TriCare, L&I, and commercial insurance and analyze agency payment vouchers. Secondary insurance billing requirements, rebilling, and electronic billing are included.

Credits

4

Distribution

Career Training

Offered

Winter, Summer

Notes

Online

Outcomes

1. Complete and process state and local medical forms
2. Complete/process Medicaid/CHAMPUS and Medicare forms
3. Define common insurance terms
4. Describe the managed care structure and reimbursement
5. Identify the medical billing cycle
6. Secure pre-authorization
7. Verify insurance coverage

Field Based Experience

0