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Course Information
Health Careers Education
HL00287
Introduction to Medical Insurance
45.00
This course presents information necessary to understand medical insurance form preparation as it is used in a medical clinic office. Students will demonstrate an understanding of legal issues regarding insurance claims, procedural and diagnostic coding, delinquent claims, problem solving, managed care systems, proper form preparation and several major types of insurance forms.
Lara Skaggs
Program Manager
405 743 5106
lskag@okcareertech.org
-Explain the qualifications and skills of a person trained as an insurance billing specialist.

-Explain the important federal, state and private health insurance plans.

-Explain the purpose of medical insurance coding for professional services.

-Discuss the importance for coding properly the diagnosis of a physician.

-Compile from a patient chart the proper data to complete a CMS-1500 claim form.

-Discuss the similarities and differences between manual and electronic claim submission.

-Explain several claim management techniques that will help eliminate medical insurance claims problems.

-Explain the purpose and function of prepaid health plans as they apply to the proper insurance form preparation.

-Discuss the features of Blue Cross and Blue Shield plans as they apply to the proper insurance form preparation.

-Discuss the benefits of Medicaid as it applies to proper insurance form preparation.

-Explain the benefits of Medicare as it applies to the proper insurance form preparation.

-Explain the benefits of Champus, Champa, and Tricare as it applies to the roper insurance form preparation.

-Explain worker's compensation as it relates to proper insurance form preparation.

-Explain the benefits and exclusions for individual and group disability income insurance as it pertains to insurance forms preparation.
Medical Assistant Standards (CTTC)

http://www.okcareertech.org/testing/Skills_Standards/Health_Career_Cluster.htm
American Association of Medical Assistants (AAMA)

http://www.aama-ntl.org/about/what_is_a_cma.aspx
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Career Majors That Sequence This Course
Career Cluster Pathway Career Major
Health Science Therapeutic Services Medical Assistant
Health Science Therapeutic Services Medical Office Specialist