Patient Billing and Reimbursement

Catalog description

This course emphasizes the accurate processing and trending of health insurance claims, the modifications in state and federal regulations affecting the health insurance industry, private, government, and workers’ compensation payer requirements, and abstracting data from source documents. Students will research and analyze topics such as HIPAA privacy standards, HITECH security rule, Conditions of Participation, fraud and abuse, False Claims Act, Stark Law, Truth in Lending Act, and Quality Payment Program.