Description:
A lecture and lab-based course that includes study
of the principles and practice of insurance and reimbursement processing, to
include 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 patient
records will be used to code diagnoses/services/procedures and complete
claims. Inpatient and outpatient
reimbursement will be determined and source documents interpreted
(e.g., Medicare Summary Notices).