AMA127 - 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

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