| |
Apr 03, 2026
|
|
|
|
|
2025-2026 Academic Catalog
|
MDAS 1012 - Medical Insurance and Billing
Credits: 3
This course presents an overview of healthcare insurance and is designed to introduce the student to the history and development of payment systems, medical insurance, claims processing and billing issues in healthcare. Insurance terminology, healthcare reform, healthcare access, ethical, legal and compliance issues, regulatory requirements, the Health Insurance Portability and Accountability Act (HIPAA), and the eligibility and reimbursement benefit structure of a variety of insurance plans including Medicare, Medicaid, Managed Care, TRICARE, Commercial plans and Workers’ Compensation will be covered. Course material and discussions will focus on the different types of insurance, federal and state regulations, referrals and prior authorizations. Manual and electronic recordkeeping, coding and billing and Current Procedural Terminology (CPT), Healthcare Common Procedural Coding System (HCPCS), and International Classification of Diseases (ICD)coding systems, will be compared using healthcare claims processing ,medical office accounting practices and billing software.
Prerequisite: Eligibility for ENG 1010
Corequisite: Suggested: MDAS 1025
Previous: MED*112 or legacy Houstonic courses MED*113 and MED*115
|
|