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Medical Insurance and Billing
 

AH 281 Medical Insurance/Billing
January 10th – May 12th
3 Credits/Online

Description:
An introduction to the major nationwide medical insurance programs, diagnostic and procedural coding systems, and the filing of claim forms.

Prerequisites:   
Satisfactory completion of AH 138 and completion or concurrent enrollment in AH 139.

Learning Outcomes (Course Objectives):
At the end of the course, students should be able to:

  1. Define health insurance terminology.
  2. Define abbreviations as they appear in a patient record.
  3. Prepare legally correct medico legal forms and letters.
  4. Code procedures and diagnosis correctly using the CPT and ICD-9-CM manuals.
  5. Locate and correct errors on insurance claims before and after processing.
  6. Abstract information necessary to complete insurance claim forms from the patient record.
  7. Be able to identify different insurance claim forms and be able to choose the correct one for processing claims.
  8. Analyze insurance claims in both hospital inpatient and outpatient settings.

Homework (Workload):
TBA

Exams:
TBA

Textbook and additional course materials:

Title : Understanding Health Insurance/A Guide to Professional Billing
Author : JoAnn Rowell/Michelle Green/Ruth Burke
Edition : 8th
Publisher : Thomson/Delmar Learning
ISBN : 0-4018-9350-3

Title : WebTutor for Understanding Health Insurance
Publisher : Thomson
ISBN : 0401896421

To purchase textbooks, please contact the WSC bookstore at 1-888-863-9455, ext 4260 or email one of the following:
Kay Anderson: Kayleen.Anderson@wsc.nodak.edu

Instructor Information: 
Coordinator/Instructor : Vera Kruger
Email: vera@midstatetel.net

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