CRS 110 - Medical Insurance & Reimbursement Systems
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Keywords
Medical Office , Medical Insurance , Medical Coding
Project
LB iLearn Online
Authors
Date Submitted
2015
Material Type
Online Course
Secondary Material Type
Collection
Institution
Linn-Benton Virtual College
Industry Partner
Corvallis Internal Medicine, PC - Acted as SME and provided content.
License
CC BY
Funding Source
TAACCCT Round 3
Additional Public Access
Abstract
CRS 110 - Medical Insurance & Reimbursement Systems
This course prepares students to understand the evolution and function of health insurance, to include Medicare, Medicaid, commercial and managed care. The students will learn to understand, prepare and process claims.
Course Outcomes:
Identify types of insurance plans and models of managed care currently deployed in the health related insurance field.
Apply third-party insurance guidelines to complete and process insurance claim forms after performing basic mathematical calculations, obtaining exact answers to claims processing functions, and determining whether those answers are reasonable.
Communicate results of claims processing using mathematical processes and concepts that demonstrate the following: copay, coinsurance, write-off/discount, primary insurance payment, secondary insurance payment, patient responsibility.
Demonstrate competency in applying and utilizing RVU's (relative value units), RBRVS (resource based relative value system) and DRG's (Diagnostic Related Groups).
Industry (NAISC)
Health Care and Social Assistance (62)
Occupation (SOC)
Healthcare Practitioners and Technical Occupations (29-0000)
Instructional Program (CIP)
Health Professions and Related Clinical Sciences (51)
Credit Type
Credential Type
Certificate
Educational Level
1st year Community College or equivalent
2nd Year Community College or equivalent
2nd Year Community College or equivalent