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May 04, 2024
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Catalog 2021-2022 [ARCHIVED CATALOG]
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MEDA 140 Medical Reimbursement Systems5 credits
A review of various types of health insurance plans, such as state, federal, and managed care. Students will learn the insurance claims processing cycle, billing systems, and required documentation. Students will have the opportunity to apply their knowledge in a laboratory setting utilizing billing software.
Prerequisites: MEDA 136
Course Outcomes
Upon successful completion of this course students will be able to:
- Apply knowledge of basic insurance terminology, phrases, and abbreviations
- Correctly code insurance billing forms using ICD10-CM and CPT code
- Perform accounts receivable procedures to patient accounts including posting charges, payments, and adjustments
- Obtain accurate patient billing information
- Verify eligibility for services including documentation
- Obtain precertification or preauthorization including documentation
- Complete an insurance claim form
- Outline managed care requirements for patient referral
Program Outcomes
This course teaches to the following program outcomes:
- be prepared to obtain an entry-level position in their field
- be prepared to work in ambulatory settings performing administrative and clinical duties.
- meet CAAHEP Standards in the areas of cognitive and psychomotor skills
- be prepared to pass the CMA (AAMA) exam
Total Hours: 60 Theory (Lecture) Hours: 40 Guided Practice (Lab or Clinical) Hours: 20
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