MSEC 124 — Medical Office Insurance Billing (5 cr)
This course is designed to introduce the student to major nationwide and local medical insurance programs. Assists the student in understanding insurance terminology, different types of coverage, consents for release of information, assignment of benefits, referral and preauthorization, and correct completion of the CMS1500 and UB04 billing forms. Course work will include medical insurance requirements for billing, confidentiality, coding, and claims processing. Students also experience different medical reimbursement methodologies, learn how to read an EOB/remittance advice, write an appropriate appeal letter, and compute coinsurance amounts. Prerequisite: MSEC 223 with a 2.0 or better. (SCC)
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