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Health Insurance and Claims Process (MAS 212)
Term: 2016-2017 AY - Spring Semester
Utilizing computer applications, this course will cover the flow of information utilized by medical assistants in a medical office setting. The students will be able to process insurance claim forms, record patient information, and adhere to legal and regulatory considerations. Topics will include requirements for managed care systems policies and procedures, Blue Cross/Blue Shield, Medicaid, Medicare, Tricare, Workers Compensation, Disability, third-party insurance, and the principles of coding. Students will develop skills in solving insurance problems, accounts receivable, fee adjustments, collecting and process fees, and inpatient and outpatient billing. Prerequisites: BIO214, MAS121, MAS211, or permission of instructor.