HITC 2121 - Physician Billing and Reimbursement

Introduction to physician billing and reimbursement issues including insurance verification, preauthorization, claims processing and adjudication, interpretation of explanation of benefits (EOB), appeal of denials, accounts receivable, postings and collections. Other issues examined include the physician fee schedule, Resource Based Relative Value Scale (RBRVS) and major third-party payers (private and government sponsored). Includes lab component.

Prerequisites: HITC 1333 and HITC 1363 with a grade of “C” or better and HITC 2403 or concurrent enrollment or instrutor approval.

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HITC 2121 - Physician Billing and Reimbursement