ADMN 2313 - Health Insurance Survey

3 sem hrs cr

A study of the coding and billing processes of me plans and payers, claim form completion specific to the insurance carrier and reimbursement procedures. Prerequisite: ADMN 1306  

In rare and unusual circumstances, a course prerequisite can be overridden with the permission of the Department Lead for the discipline.

This course may include proctored exams which must be completed on campus or at an instructor approved proctoring center which may require additional costs to the student. Please consult your instructor for additional details.

Transfer (UT) or Non-Transfer Course (UN): UN

By the end of the course, students will be able to…

• enhance understanding of various insurance programs and plans using correct terminology.
• expand the student’s understanding of the importance of diagnostic and procedural coding to physician reimbursement.
• expand understanding/knowledge of federal and state regulations (HIPPA, red flags, etc.) and ethical issues.
• emphasize mastery of use of electronic claims software.
• develop an awareness of the relationship between insurance billing/coding/insurance reimbursement and practice management to current health and medical topics of interest.

Course Objectives

• Gain an overview of medical insurance
• Gain knowledge medical service reimbursement payors
• Define basic terms used in medical insurance
• Gain knowledge on medical claims processing
• Identify how medical coding is used in health insurance and medical reimbursement