MOA 137 Medical Reimbursement I

Students will study federal, state, and private health insurance plans including managed care systems. Students will learn the processing cycle of health insurance claims, health insurance terminology, reimbursement methodologies for professional services, and proper completion of the 1500 billing form. Students will have hands-on experience with simulated practice management software. An overview of billing system management reports and legal issues related to reimbursement processing. Students will learn math concepts associated with coinsurance, deductibles, allowables, and RVUs.



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