ALHT 150 - Billing And Insurance

Institution:

Neosho County Community College

Subject:

Description:

This course involves the study of the principles and practice of insurance and reimbursement processing. It includes the assignment and reporting of codes for diagnoses and procedures/services; completion of CMS-1450 and CMS-1500 claims for inpatient, outpatient, emergency department, and physician office encounters; and the review of inpatient and outpatient cases to identify issues of fraud and abuse. Textbook cases and redacted patient records will be used to code diagnoses/services/procedures and completeclaims. Inpatient and outpatient reimbursement will be determined and source documents interpreted (e.g., explanation of benefits, Medicare Summary Notices, and so on). Prerequisites and/or co-requisites: ALHT 110, ALHT 120, BIOL 257, BIOL 258, ALHE 122 or permission of instructor, ALHT 160.

Credits:

3.00

Credit Hours:

Prerequisites:

Corequisites:

Exclusions:

Level:

Instructional Type:

Lecture

Notes:

Additional Information:

Historical Version(s):

Institution Website:

www.neosho.edu

Phone Number:

(620) 431-2820 ext 216

Regional Accreditation:

North Central Association of Colleges and Schools

Calendar System:

Semester

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