NAHCE UNIVERSITY

Medical Insurance Curriculum

 Part 1 WORKING WITH MEDICAL INSURANCE AND BILLING

Introduction to the Revenue Cycle

Electronic Health Records, HIPAA, and HITECH: Sharing and Patients’ Health Information

Patient Encounters and Billing Information

Part 2 CLAIM CODING

Diagnostic Coding: ICD-10-CM

Procedural Coding: CPT and HCPCS

Visit Charges and Compliant Billing

Part 3 CLAIMS

Healthcare Claim Preparation and Transmission

Private Payers/ACA Plans

Medicare

Medicaid

TRICARE and CHAMPVA

Workers’ Compensation and Disability/Automotive Insurance

Part 4 CLAIM FOLLOW-UP AND PAYMENT PROCESSING

Payments (RAs), Appeals, and Secondary Claims

Patient Billing and Collections

Primary Case Studies

RA/Secondary Case Studies

Part 5 HOSPITAL SERVICES

Hospital Billing and Reimbursement

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