Data Quality, Reimbursement, and Insurance Billing Online

Course IDCourse NameCourseCategoryCredit Hours
MDCO 104Data Quality, Reimbursement, and Insurance Billing Online MEDICAL BILLING/CODINGHEALTH SCIENCES2

Prerequisite or corequisite: None. This is a 2-credit hour (30 contact hours) online course that uses various activities throughout each chapter to help enforce what the student is learning. These activities may include games, diagrams, video and audio sections. This course will introduce the basics of health insurance, medical insurance billing including Medicare, Medicaid and private insurance companies, and primary and secondary claims. Reimbursement methodologies including payment systems are covered in this course. This course also covers overview of DRG’s and APC’s, interface between business office and HIM, optimizing reimbursement, coding quality studies, and working with physicians for DRG and APC management. Introduction to data quality issues in coding and health information management.