MCSI 1201 - Medical Insurance Billing Part I

3 Credits Hour(s)
3 Lecture Clock Hour(s)
Credit Summary: (3-3-0-0)

Prerequisite(s): C or better in MCSI 1120 and MCSI 1300. Can be taken concurrently with MCSI 1101.
Understanding of diverse types of insurance plans. Expertise in applying payer policy, Local Coverage Determinations (LCDs), and National Coverage Determinations (NCDs) for successful claim submissions. Successful navigation of healthcare industry rules and regulations, including HIPAA, False Claims Act, Fair Debt Collections Act, and Stark Law. An understanding of the life cycle of a medical billing claim and how to improve the revenue cycle. Expertise in effective claim follow-up, patient follow-up, and denial resolution.

CIP Code: 510713