SES 124 - Medical Insurance Processing

Institution:

Northern Maine Community College

Subject:

Description:

3 class hours Focuses on the insurance and claims processing duties of the medical office professional. The student will gain an understanding of the health care industry, medical coding, insurance claims procedures, and several major health insurance programs. The course will explore the legal aspects of insurance billing, ICD-9-CM coding, HCPCS coding, various medical claims forms, Electronic Date Interchange (EDI), Managed Care, Blue Cross/Blue Shield, Medicare, Medicaid, and Workers' Compensation. A billing simulation will be completed as a final evaluation. Pre/Co-requisite: SES 220

Credits:

3.00

Credit Hours:

Prerequisites:

Corequisites:

Exclusions:

Level:

Instructional Type:

Lecture

Notes:

Additional Information:

Historical Version(s):

Institution Website:

www.nmcc.edu

Phone Number:

(207) 768-2700

Regional Accreditation:

New England Association of Schools and Colleges

Calendar System:

Semester

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