Catalog 2018-19 
    
    Jul 21, 2019  
Catalog 2018-19 [ARCHIVED CATALOG]

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HIM 232 - Medical Insurance & Billing Applications

4.00 credits
Students will learn accurate processing of health insurance claims. Thorough instructions in all aspects of medical insurance including plan options, payor requirements, state and federal regulations, abstracting of documents, accurate completion of claims, coding diagnoses and procedures. Determine the accuracy of abstracted data elements for data base integrity and claims processing. Includes contemporary prospective payment systems and key health plans, charge master maintenance, and evaluation of fraudulent billing practices. ICD-10-CM, CPT-4 and HCPCS will be reviewed and there will be hands-on application of the EncoderPro and SimClaim software. Prerequisites: HIM 131 and HIM 231.



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