Course Descriptions

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MEDC-218 - HEALTH INSURANCE AND REIMBURSEMENT MANAGEMENT  3 credits
This course is designed to develop knowledge of various health insurance policies and plans. The student will become efficient in health insurance terminology and concepts. HMOs, PPOs, as well as government, state, and private insurance will be compared and contrasted. The course will also cover worker's compensation, disability, Champus, and Champva. Insurance forms and documentation for health claims reimbursement and billing will be utilized. Reimbursement calculations for DRG, capitation, fee for service, risk accounts, Medicare, and private insurance will be examined. PREREQUISITES: MEDC-120, MEDC-121