MBCS-500 Medical and Dental Reimbursement and Denial Management

This course focuses on the role of the Medical Biller in dealing with reimbursement, denial, and rejection of insurance claims. This course continues to build on skills and content knowledge from all previous MB courses, including medical terminology and billing procedures.

Once a claim has been processed, a decision will have been made regarding reimbursement. The various decision options, including proceeding to reimbursement, denial, or rejection, will be reviewed and their consequences will be evaluated.

Students will continue to apply the ICD-10, CPT, and HCPCS codes from the appropriate manuals in case studies.

Credits:
5.0

In Class Clock Hours:
72.00

Lab Hours:
40.00

Prerequisite:
MBCS400

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