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Apr 19, 2024
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BTECM 250 Medical Claims and Insurance Management (5 credits)
Formerly BTECH 250
Course Description
Emphasis on the production of the medical insurance forms required for insurance billing, including an introduction to CMS-1500 and UB-92. Includes completion of medical claim forms for (includng, but not limited to): Medicare, Medicaid, private/commercial insurance, Blue Cross, VA, and Worker’s Compensation.
Student Outcomes
1. Describe basic information regarding major insurance programs and federal health care legislation.
2. Display basic knowledge of ICD-10-CM, CPT, and HCPCS coding and define the differences between these systems.
3. Extract information from case studies to accurately complete the appropriate insurance claim form or forms.
4. Evaluate the advantages and disadvantages of electronic claims submissions and the safeguards that need to be in place to ensure confidentiality.
5. Explain the impact of coding compliance and clinical documentation on health care settings.
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