Medical Billing and Insurance (OLT)

List and define the general terms involved with federal, state and private health insurance plans, and common insurance terminology.

Demonstrate the ability to abstract insurance data from the patient record onto the health insurance claim form.

Explain the purpose of coding for medical professional services.

Describe the history of the health insurance claim form and be able to understand the different categories involved in the claim form.

Describe the different types of insurance including commercial and Medicare/Medicaid.

Understand the legal regulatory considerations involved in health care reimbursement.

Describe the variety of career possibilities and areas of specialization open to those trained as insurance billing specialists.

Understand and describe the life cycle of the medical billing claims process from submission, follow-up, and payment processing.