At VMCA we introduce new billers to learn health insurance and reimbursement. Students will learn about the health insurance industry, legal and regulatory issues, and differences in reimbursement methodologies.  During the course we study claim forms, preparation, submission, and payment processing, and the follow up process. We will cover a variety of health insurance models and how they affect medical entities.  Help you understand the legal regulatory considerations involved in health care reimbursement and collections. Explain the process of a physician-based insurance claim including obtaining patient data, claim form completion, insurance carrier processing and payment received. Demonstrate the ability to use the three major coding manuals, CPT®, ICD-10-CM, and HCPCS Level II, and apply medical necessity standards. Explain the follow up process for A/R in a physician’s office, including the top denials by insurance carrier along with their appeals process.