MAC 127: Medical Insurance & Reimbursement

Subject
Administrative Medical Assistant
Certified Medical Assistant
Credits 4 Lab Hours 40 Lecture Hours 20
Quarter Offered
Winter/Summer
Instructional Mode
Online

This course focuses on medical insurance terminology and processes for billing a variety of insurance types. They learn specifics of Medicaid, Medicare, TriCare, L&I, and commercial insurance and analyze agency payment vouchers. Secondary insurance billing requirements, rebilling, and electronic billing are included.

Outcomes
  • Define common insurance terms
  • Describe the managed care structure and reimbursement
  • Complete/process a variety of health insurance including Medicaid, Tricare and Medicare forms
  • Identify the medical billing cycle
  • Verify insurance coverage
  • Secure pre-authorization
Prerequisites

MAC 121 with a minimum grade of 70% or 1.6

Distribution
Professional Education
Campus
Downtown
Area of Study
Career Education