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Course Description

Participants become familiar with health insurance terminology and the processing cycle of health insurance claims. The billing systems for various healthcare organizations including federal, Veterans Affairs, state, private, and managed care health insurance plans are introduced. Legal issues and regulations related to reimbursement are covered.

Learner Outcomes

Upon successful completion of this course participants will be able to:

  1. Identify reimbursement sources and apply methodology to assess and determine payments.
  2. Recognize treatment modes and apply the correct clinical classification systems to patient accounts.
  3. Apply regulatory quality-monitoring techniques to ensure coding and reimbursement compliance.

Notes

William Castillo 
Workforce Development Coordinator
wkcastil@hawaii.edu

For assistance call our office at 455-0477.

Prerequisites

There are no prerequisites for this course.

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