Courses & Programs

Health Insurance Reimbursement and Computerized Billing

COURSE CODE: HMC 104

CREDITS: 4

PREREQUISITES: Corequisites: HTH 114 and HMC 103.Note: If HTH 114 is taken as a corequisite it needs to be a specific section for M043/M010 programs. No program restrictions for registration, with availability for required programs.

An introduction course to medical billing, medical insurance and the influence of today's managed care environment. Requirements for Medicare, Medicaid and commercial insurance claims will be discussed. This course provides the opportunity to use basic data entry skills to do medical billing and practice management, needed by clerical workers staffing a healthcare facility, by utilizing a computerized billing/coding Practice Management software program. It includes the principles of medical billing related to proper claim form preparation, submission, and payment processing, including the follow-up process. Differences in reimbursement methodologies will also be covered. Pre/Corequisites: HTH 114 and HMC 103.Note: If HTH 114 is taken as a corequisite it needs to be a specific section for M043/M010 programs. No program restrictions for registration, with availability for required programs.