hcr203 | undergraduate
Medical Claims Processing And Compliance
This undergraduate-level course is 5 To enroll, speak with an Enrollment Representative.
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Health Care Claim Preparation and Transmission
- Explain the importance of preparing and submitting "clean claims."
- Compare papers versus electronic claims submission.
- Review the basic steps in the medical billing process.
- Compare the role of HIPAA 837 with CMS-1500 in the claim process.
- Complete a CMS-1500 claim form.
- Discuss the UB-04 form.
Claims Denials and Appeals
- Evaluate the effectiveness of the RA/EOB in the claim adjudication process.
- Identify reasons for claims denials.
- Describe the purpose of the general appeals process.
Patient Billing and Collections
- Describe effective financial policies and procedures for patient accounts in medical offices.
- Explain the collection process.
- Explain uncollectible accounts and record retention.
HIPAA and Compliance
- Describe the purposes and provisions of HIPAA.
- Identify HIPAA requirements for electronic claims.
- Discuss social, legal, and ethical ramifications of HIPAA violations.
- Discuss how medical compliance plans limit liability.
Please ask about these special rates:
Teacher Rate: For some courses, special tuition rates are available for current, certified P-12 teachers and administrators. Please speak with an Enrollment Representative today for more details.
Military Rate: For some courses, special tuition rates are available for active duty military members and their spouses. Please speak with an Enrollment Representative today for more details.
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While widely available, not all programs are available in all locations or in both online and on-campus formats. Please check with a University Enrollment Representative.
Transferability of credit is at the discretion of the receiving institution. It is the student’s responsibility to confirm whether or not credits earned at University of Phoenix will be accepted by another institution of the student’s choice.