Health Insurance II

Audience:

This course is designed for students who are new to health care but want to work in a hospital setting.

Certification: One of Five Courses for the Certified Healthcare Admissions Associate Certification

Certifying Body: National Association of Healthcare Access Management

Contact Hours: 25

Course Description:

This course is one of five courses comprising the Patient Access Specialist certification program. Students will be introduced to medical billing and the claims submission process. Students will also learn about insurance claim preparation and transmission as well as the various types of insurance available, depending on the patient’s individual profile. In addition, the course will review the various types of health care billing and provide students with an in-depth understanding of Medicare and Medicaid billing.

 

Course Objectives:

• Identify the correct information needed to prepare and transmit accurate, complete health care claims
• Explain the rules for eligibility and claims processing for Medicare plans
• Explain the rules for eligibility and claims processing for Medicaid plans
• Describe the background and billing and reimbursement process for Tricare, workers’ compensation, disability, and Blue Cross

Course Features:

• The Health Insurance II course includes 25 non-credit contact hours.
• This course is instructor-facilitated.
• This course does not lead to certification as a stand-alone course.
• This course can be run fully online or in hybrid format.
• The Health Insurance II course is designed as part of the Pearson Workforce Education Core Health Care Curriculum, and can be included with other occupation-specific courses in conjunction with multiple certification programs.
• This course is one part of a five-part course series for the Patient Access Specialist certification program, which fully prepares students to sit for the Certified Healthcare Admissions Association certification exam from NAHAM.
• This course is not a CEU.
• This course is appropriate for entry-level students or incumbent workers.
• This course is a complete, ready-to-deliver, customizable online course, including syllabi, lesson sequences and course objective descriptions.
• The Health Insurance II course content is written to meet specific curriculum and course outcomes and every content item is mapped to a specific course objective.
• This course can be used in any Learning Management System (Blackboard, WebCT, Angel, Moodle, D2L, etc.).
• Interactive classroom lectures are self-contained learning objects.
• The Health Insurance II course includes instructor resources, optional assignments and assessments, and optional book readings, all aligned with course objectives.
• All content has been developed and created by industry leading subject matter experts and instructional designers.

eBook Information

COMPREHENSIVE HEALTH INSURANCE: BILLING, CODING & REIMBURSEMENT, 2/e provides students with the knowledge and skills needed to work in a variety of medical billing and coding positions in the medical field. Comprehensive in approach, it covers the foundations of insurance, billing, coding and reimbursement. Students learn not only the submission of claims to the insurance carrier, but also reviewing medical records, verifying patient benefits, submitting a secondary claim, posting payments and appealing the insurance carrier's decision. This edition includes new chapters devoted to HIPAA and ICD-10-CM Medical Coding, as well as outstanding coverage of electronic records. Numerous case studies and patient files are included throughout and demonstrate refunds and appeals, auditing and compliance, Medicare calculations and professionalism.

Chapter Titles:

SECTION I: A CAREER IN HEALTH CARE

1. Introduction to Professional Billing and Coding Careers

SECTION II: THE RELATIONSHIP BETWEEN THE PATIENT, PROVIDER, AND CARRIER

2. Understanding Managed Care: Insurance Plans
3. Understanding Managed Care: Medical Contracts and Ethics
4. HIPAA: Health Insurance Portability and Accountability Act of 1996

SECTION III: MEDICAL CODING

5. ICD-9-CM Medical Coding
6. ICD-10-CM Medical Coding
7. Introduction to CPT and Place of Service Coding
8. Coding Procedures and Services
9. HCPCS and Coding Compliance
10. Auditing

SECTION IV: MEDICAL CLAIMS

11. Physician Medical Billing
12. Hospital Medical Billing

SECTION V: GOVERNMENT MEDICAL BILLING

13. Medicare Medical Billing
14. Medicaid Medical Billing
15. TRICARE Medical Billing

SECTION VI: ACCOUNTS RECEIVABLE

16. Explanation of Benefits and Payment Adjudication
17. Refunds and Appeals

SECTION VII: INJURED EMPLOYEE MEDICAL CLAIM

18. Workers' Compensation

SECTION VIII: USE OF MEDICAL PRACTICE MANAGEMENT SOFTWARE

19. Electronic Medical Claims Processing

Frequently Asked Questions

How do I enroll for trhe online training ?

You can enroll for the training . Payment can be made using any of the following options and receipt of the same will be issued to the candidate automatically via email.

1. Visa debit / credit card.

2. American express and Diners club card.

3. Master card , or.

4. Through PayPal.

What wil i get along with this training ?

You will have access to the online e-learning and practice tests along with the training.

Do you provide mone back guarantee for the training programs ?

Yes, we do provide money back guarantee for some of out training programs . Contact support@way2career.in more information .

Can i extend the access period ?

Yes, you can extend the access period by paying an additional fee . Contact support@way2career.in  information .

Where and how can i access the e-learning content ? Are there any limitations ?

Once you register with us for a course by paying the course fee, you can have 24/7 access to the e-learning our website . An automated course purchase confirmation mail form our side will guide you through the ....

I am not able to access the online course . Whom should i contact for a solution ?

Please send an email to support@way2career.in  . You can also chat with us to get an instant solution.

Do you provide any course completion certificate ?

Yes, we offer course completion certificate after your successful completion of the training program.

What is the payment mode?

Following mode of payment is possible 

  1. DD or Cheque in the favor of W2C
  2. RTGS/NEFT/IMPS/Fund Transfer
    • Account Name: - Way2Career Consulting Services Pvt Ltd
    • Account No: - 03942560002139
    • IFSC Code: - HDFC0002649
  3. Using Credit Card/Debit Card/Net Banking Click Here

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Way2career

Price $ 12000

Course Features

  • No. Of Hours   25

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