HIMS 1410 Introduction to Insurance

3.0 - 0.0 - 3.0

Course Description

This course introduces the health insurance field, managed healthcare, and legal and regulatory issues, as well as reimbursement methodologies. It explores various types of insurance while focusing on claim form instructions, billing and collection practices, and reimbursement guidelines including the audit and appeals process. Students complete CMS 1500 claim forms and apply basic Medicare and Medicaid rules, commercial insurance regulations, and regulations of worker's compensation claims. This course uses DRG process as well as Encoder to code ICD-10, CPT, and HCPCS.