AH 130 - Concepts in Medical Insurance and Billing

4 Credit(s)

Prerequisite(s): Acceptance into an Allied Health Occupations program and successful completion of all prior program courses is required.

Course Description: Explores the fundamentals of health insurance, reimbursement processes and methodologies, billing cycles, payment systems, fee schedules, charge master, and internal audit processes. Includes an introduction to how health information technology is used in medical offices. Students will learn how to apply this information to enter patient charges and payments.

Course Level: Career/Tech Preparatory

Course Learning Outcomes:

CLO#1: Identify and describe the components of the revenue cycle.
CLO#2: Identify claims processing procedures. (ILO: Information Literacy)
CLO#3: Compare and contrast types of insurance plans.
CLO#4: Identify and correctly apply codes for billing purposes within different healthcare settings.