Insurance, Coding, and Billing in Health Care

The course introduces the student to the current foundations of reimbursement for health care services by third party payers. Typical requirements for documentation and reporting for insurance purposes are explored, including the usual insurance requirement for pre-certification or prior authorization for services. Standards for accuracy in coding, and how these interface with the billing function are surveyed.

Credit hours: 3.0

Additional Prerequisites / Conditions: AH300 or HS300 or HS110. Prerequisite may be taken as a co-requisite. Must earn a C to pass this course.